Name *

First Name

Last Name

Phone *

(###)

###

####

1. Have you or anyone in your household visited any other dog breeders, shelters, or petstores in the past 14 days? *

Yes

No

2. Do you currently own any pets? *

Yes

No

3. Are all your current pets up to date on the parvovirus vaccination? *

Yes

No

5. Have you or your pets been exposed to any known cases of canine parvovirus, distemper, or other contagious diseases recently? *

Yes

No

6. Are you able to wear clean clothes and footwear that have not been in contact with other animals before your visit? *

Yes

No

7. Are you willing to sanitize or wash your hands upon arrival and adhere to hygiene protocols during your visit? *

Yes

No

8. Do you agree to follow our guidelines for handling the puppies, including no contact with other animals before your visit? *

Yes

No