Name *

First Name

Last Name

Phone Number

(###)

###

####

What type of home do you live in?

House

Apartment

Townhouse

Other

How many kids do you have?

0 - 2

3 - 5

6+

Does anyone in your home have allergies?

Yes

No

What breed are you interested in?

Mini Goldendoodle

Standard Goldendoodle

Bernedoodle

What gender of puppy do you prefer?

Any Gender

Female

Male

Purpose for Getting a Puppy?

Companion

Family Pet

Service Animal

Therapy

Breeding (Approved Breeding Programs Only)

Do you understand that some dog's color fades or changes and that we do not guarantee color in a puppy?

Yes

No

What options are you interested in for getting your puppy home?

Ground Transport

Flight Nanny (Puppy flown in cabin with chaperone)

Pick up in Utah (Visit breeder in person and pick up puppy)

Pick up at breeder's airport (Fly in to Salt Lake International Airport to pick up puppy)

Are you willing to wait for a puppy if necessary? (I may not have the right puppy immediately available so it helps me to understand how flexible your timing is.)

Yes

No