Application FormPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Address *City *State *Zip Code *Who will be the primary caretaker of the dog? *Do you have any other pets? (Please list) *Where would the puppy live? (Inside, outside, crate – both before and after training) *Do you have children? (If so, please list ages) *Do you have or plan to have a fenced in yard? *Are allergies and or shedding an issue or concern? *Type of home you live in: *HomeTownhomeApartmentOtherDo you own or rent? *OwnRentIf you rent, is the owner aware and have you obtained permission to have a puppy at home? (Please provide contact information for owner)On average, how many hours per day will the dog be left alone? Where will the dog primarily stay when left alone?Please provide any other comments or information you think may help with your application:I understand and agree that all dogs are sold with a binding spay/neuter contract. Dogs are not to be used for breeding. Legal action will be taken out against any breach of this contract. *I understand and agree to these termsI understand that by submitting this application, I confirm that all the information above is true and correct. I will provide my license ID when I pick up my puppy so it can be verified and a record will be kept on file (required by the state of Georgia). I understand that, should I give false information to alter the outcome of the application process, I will forfeit any fees or holding fees paid to the seller with no refund. *I understand and agree to these termsI understand that and agree that if I must surrender the dog, I will return him/her to the original breeder, Zoe the Lorax Breeders. *I understand and agree to these termsSubmit