Name (First & Last)
Address:
E-mail:
Phone Number:
Zip Code:
City & State:
When are you looking to bring a puppy home?
How did you hear about us?
Why have you decided to purchase a Portuguese Water Dog?
Do you have a color preference? If so, please list below.
Please explain how you will meet exercise (mental & physical) and socialization needs for the puppy?
If you have children at home please list their ages.
Please explain how long your puppy will be alone during the day?
If you have contacted another breeder and are on their waiting list please let us know. It is okay to be honest.
