Puppy Questionnaire If you would like to make a reservation for one of our precious little ones, please fill out our puppy application below. They are not as fragile as some toy breeds, they are a little more sturdy, and are full of love and are incredibly sweet and smart. Due to the high number of emails we receive, we will be happy to chat with you on the phone once this application is completed. If we both agree to go forward you will be asked to send your holding deposit. We want to insure that our puppies go to loving homes only, and never get in harms way...we thank you and have a blessed day! Wendy and Danny Ball First Name * Last Name * Street Address * State * Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Enter Mailing Address and Other Contact Information Email * Preferred Phone Number * Alternate Phone Number Personal Reference #1 Full Name and Preferred Phone Number * Personal Reference #2 Full Name and Preferred Phone Number * Marital Status Married Single Occupation Names and ages of any children living with you. * What type of home do you live in? * Single Family Duplex Apartment Other If Other, please describe. Do you have a fenced in yard? If not, how do you plan to potty your puppy? * Number of pets currently in your house, Description, Breeds and Ages. If none enter "None" * Are these pets spayed or neutered? Yes No Some Have Where will your puppy be contained when no one is home? * On a typical day, how long will your puppy be left alone? * Do you plan to show and/or breed your puppy? * Neither Show Only Breed Only Both Have you ever returned a pet to a breeder or given them to a pound or animal rescue? If yes, please give details. * Do you prefer a male or female? * Male Female No Preference Why? Would you be willing to take the other gender if your preferred gender is not available out of this litter? Yes No Please supply your vet’s name and phone number if you have a vet.