Name(s):

Maiden Name(s) (if applicable):

Address:

Home phone:

Cell Phone:

Email address:

Job name:

Job phone:

Please tell us about your family lifestyle and make-up, children and work hours:

How many hours a day will your puppy be left alone?:

Do you own other pets? Please tell us about current and past pet ownership:

What is your intent for this puppy bought from us? Pet, breeding, show?:

Have you ever owned a Bulldog before?

Have you ever had a  litter of puppies?

Who will be the primary caretaker of this puppy?:

Do you have an in ground pool? :

Do you have a fenced in yard?:

Where will the puppy be housed?:

What price range are you looking for when buying your puppy?

Please provide references below: WE CHECK ALL REFERENCES!

1. Veterinarian Reference! Name of Vet., address and phone number ( please call your Vet. and give them permission to speak to us before we call):

      2.  Three personal references: can be family, friends, groomer, work, etc.

Please provide name, address and phone number for all.

Thanks for your interest in one of our exquisite puppies. We must get a puppy application for every person who buys a puppy from us before it is approved.

Feel this form is too personal? We are very sorry. We care about the welfare of our puppies and want to be sure they are going to the right homes. If you don’t want to disclose this information we suggest you look for another place to get your puppy from.