Puppy Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Have you owned a puppy before? *

(6 months old or less)

Yes

No

Do you have a fenced in yard? *

Yes

No

I would describe our lifestyle as:

Very Active

Moderately Active

Slightly Active

Laid Back

I understand that if this puppy is purchased as a pet only, it is under a firm spay/neuter contract. *

Yes, he/she will be fixed within the allotted timeframe.

No, I do not want to fix my puppy.

I'm purchasing full AKC registration/breeding rights

I understand that traits such as color changes, mature weight, and personality of the puppy cannot be guaranteed. *

Yes, I understand.

No, I do not understand.

I understand that payment of the deposit signifies agreement to the Puppies by Southpaw Contract, and that deposits are nonrefundable, but transferrable at the breeders discretion. *

Yes, I understand.

No, I do not understand.