Basic Information About You and Your Family

•Date

Name * Your first and last name

•Email *

•Phone *

•Address

•Street Address *

•City *

Province or State *

•Country *

Zip or Postal Code *

Information About Your Life and Your Home

Do you have a pool? If you do have a pool, please provide details - indoor, outdoor, above or inground, fenced or not.

How many people live in your home? * Please list each person on a separate line, along with their age and relationship to you.

Tell us more about your life and home. Please give us some background on you, your family and your lifestyle. Include details such as where you live, the type of housing, etc.

Your occupation. Please list yours, and the occupation of your life partner/spouse (if you have one)

How many hours per day will the puppy be left alone (on an average day)?

Information About Your Current Pets

Do you have any pets in your home? * Yes/ No

If you do have pets, please list them. Include type of pet, breed, age, and if a dog, where they came from.

What pets have you owned in the past?

Do you have a Veterinarian? If so, please list their name and the name and phone number of their clinic.

Are you ok with a home visit? Will you allow us to make a home visit, or to have one done by a volunteer? Yes /No

Do you Crate Train your other dogs?

•Information about your prospective puppy.

•Do you have a specific litter you prefer a puppy from, or a particular puppy you are interested in? If 'yes', please provide details.

•What is your background in dogs? Please give your background with pets in general and dogs in particular. Breeds you've owned, etc.

•Do you have a time frame of when you hope to/need to obtain your puppy? * Yes/ No

•If you do have a time frame, please explain.

•Do you have a preference regarding sex of your puppy?

•Do you have a color preference? Brindle, Cream, FawnBlack Masked., Fawn, Brindle Pied, Red Fawn, Pied, Blue, No color preference

•Please indicate your hopeful plans for this puppy. You may choose all that apply. family pet, conformation prospect ('show' dog), breeding prospect , competitive obedience, therapy dog , agility dog, rally dog

•If you indicated 'yes' to any of the above other than family pet, please provide more details Include information on your previous experience, titles achieved, breeds worked, etc

•Do you belong to any Conformation/Training/Tracking/Breed clubs?

•A Few Final Details

•Have you read our puppy purchase information on our French Bulldogs on our website, and researched this breed from other sources? * Yes No

•Are you aware that our pet puppies start at $3,000 and a non-refundable $500 is required to reserve a pup? * Yes/ No

•Do you understand that we do not ship our puppies, and that they must be picked up in person? Note again that we're located in North Florida (in the panhandle). * You can pick pups up and fly them home, so long as they fly in cabin with you, not in cargo. We can also arrange to have puppies hand carried to you, for a fee. Yes /No