Please enable JavaScript in your browser to complete this form.Name *Email *Phone *Address *Type of Ownership *[please choose]Pet HomeGuardian HomeFor information on our Guardian Home program please see: http://syncitykennel.com/wp-content/uploads/2019/11/guardian-home-information.pdfAcreage/House/unit or apartment? *[choose]AcreageHouse/TownhouseApartmentIs your house yard fully fenced & secure? *[choose]YesNoDo you own your own home or is it a rental house? *[choose]OwnRent or LeaseThird ChoiceDo you have children? *[choose]NoOneTwoThree +If yes what are their ages?Under 1Toddler 1-3Child 4-12Teen 13+Do any of your children have a fear of dogs?[choose]YesNoDoes anyone in your immediate family suffer allergies to dogs? *[choose]YesNoDo you have any health conditions/disability that may limit your ability to exercise a dog? If so, please give details.Will your puppy sleep inside and be allowed inside,when an adult dog? *[choose]YesNoDo you work full-time? *[choose]I do not currently work.Part-time - Under 20 hours/weekFull-timeWhat is the maximum number of hours the puppy will be left alone? *[choose]Never1 Hour2 Hours3 Hours4 or more hoursHave you owned a dog before? *[choose]YesNoIf yes, what breed and how long ago.Do you own any other pets? [eg: another dog, cats, rabbits, birds etc.] *[choose]YesNoIf so, give details.What breed are you interested in? *[choose]French BulldogBoxerFrenchtonHave you researched about the breed you are interested in? *[choose]YesNoName of puppy you are interested in.Do you desire a male or female puppy? *[choose]MaleFemaleNo PreferenceWill your puppy be desexed? *[choose]YesNoMaybeDo you plan to take your puppy to puppy pre school? *[choose]YesNoMaybeDo you intend to insure your puppy? *[choose]YesNoMaybeAre you aware of the costs associated with keeping a dog? *[choose]YesNoTell us anything else you think may be important about yourself.Lastly - how did you find out about us? *PhoneSubmit