Name *

First Name

Last Name

Phone *

(###)

###

####

Age

18-29

30-49

50+

Describe your current living situation. *

I own a house/townhouse

I rent a house/townhouse

I own a unit/apartment

I rent a unit/apartment

Describe the size of your backyard. *

Small

Medium

Large

Does your backyard have secured fencing? *

Yes

No

Do you plan on getting another dog in the future? *

Yes

No

Puppy Preference - Gender *

Girl

Boy

Puppy Preference - Colour *

Red

Cream/White

Parti

Merle

Black

Brown

Puppy Preference - Size *

Small Groodle

Medium Groodle

Standard Groodle