Adoption Form

Please complete the form and submit it for review. We look forward to discussing your puppies adoption with you.

Your name

Address 1

Address 2

City

State

Zip

Email

Phone

Please enter a valid US Phone number

Best time and method to contact you

Referred by

Puppy Preferences: (select one)

Color

Cream

Light Apricot

Dark Apricot

Red

Undecided

Coat

Flat Coat

Wavy Coat

Curly Coat

Undecided

Weight

Medium (30-45 lbs)

Mini (15-30 lbs)

Expected activity level for your puppy

Very High

High

Moderate

Below Average

Are any of your preferences negotiable? If so, please explain.

How many hours per day on average will the puppy be left alone?

Does anyone in your household have allergies to animals?

No

Yes

Would you considered adopting an older dog in the event someone was unable to care for their puppy?

No

Yes

Is there anything else you would like me know that will assist in finding your perfect puppy match?

Adoption Form for Crescent Moon Kennels