Your Full Name:

Your Address:

Your Phone Number:

Your Email:

How did you hear about us?
Please SelectFacebookGoogle AdWeb SearchInstagramTikTokFriendWord of MouthOther
Please check your age group?
18-2526-3536-4546-5556-6566-7576-8586-95
Is this your first time owning a Bull Terrier?
YesNo
Bull Terrier’s get big. Fast! They are puppies and puppies chew things, have lots of energy, and need frequent training!! The puppy stage can last for two years. Are you aware of the specific needs and prepared for the “puppy stage” of a Bull Terrier?
I am awareI am unfamiliar
What made you choose a Bull Terrier?

What experience, if any, do you have with this breed?

Do you currently have other pets in your home? Please tell us how many and what kind(s)?

Do you have spouse, roommate, and/or children living in your home who will raise your puppy with you? What are the ages of your children??

What is your profession/do you work outside the home?

Does anyone in your home suffer from allergies?
Yes, MildYes, ModerateYes, SevereNo
Are you looking to add a male or female pet to your family?
MaleFemaleNo PreferenceWhichever becomes available first
What color Bull Terrier are you interested in?
WhiteBlackRedBrindleFawnBrindle & WhiteBlack & WhiteRed & WhiteBlue or TanUndecided
When are you looking to add a Bull Terrier to your family?
The soonest that one becomes available2-4 months4-6 months6 months to a year
For the puppy's exercise, how active would you consider your family to be?
A little activeModerately activeVery active
How will your puppy get their needed exercise?

Do you have a safe, fenced in yard?

Where will your puppy sleep at night?

In a brief paragraph tell us about your past pets..... How long did they live? What was the cause of death? Were any taken to a shelter or rescue? If yes, what was/were the reason?

Do you have any goals/interests for your puppy? Showing, Service, Therapy, Rescue etc.

What will a typical day look like for your puppy?

The initial cost of the puppy is only the beginning. They require regular vet visits, vaccines, flea collars or medication, heart worm medication, etc. In addition, large breed dogs generally need daily vitamins and special foods, as well as consistent training. Please tell us why a Bull Terrier would be a good fit for you.

Are you aware that we require our puppies to be returned to us if you are unable to keep them?
I am aware my puppy must be returned to breeder if I am unable to keep themI do not agree
Deposits are non-refundable, however they are transferable to future litters. The deposit amount is $300 and will be applied to the total price of your puppy. Should your application be approved, are you prepared to make your deposit to be added to our waitlist today?
I am prepared to pay a deposit todayI am NOT prepared to pay a deposit today
Can you commit to 10 or more years to feeding, caring for, and grooming your Bull Terrier?
YesNo
What is the best form of contact to reach you at?
Phone callPhone textEmail
What is the best time to contact you?
MorningsAfternoonsEveningsAnytime
How do you plan to get your puppy home? We offer ground transport and flight nanny services (for an additional fee).
I will fly to pick up my PuppyI will drive to pick up my PuppyI would like to schedule transport servicesI am not sure yet, I will let you know ASAP to schedule arrangements
Please tell us any additional information we might need to know