Application

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Preferred Contact Method
- Email
- Phone
Preferred Contact Times

Name and ages of all family members in the home. Please list special needs if necessary.
Does anyone in the family have a history of pet allergies?
- Yes
- No
What Doodle Breed are you interested in?
What Litter are you interested in? (Mother of litters name)
Who will be the primary caretaker of the dog?
Who will be the secondary/backup caretaker of the dog? (Include relation)

Is there anything you want us to know about you that may help us with the application and puppy placement process? Do you have any questions for us that you did not find answered?(in FAQ's). We can answer these questions when we send you our post-application email.
How did you hear about us?
If online led to us, what website or google search brought you to us?
Can we thank one of our puppy owners for the referral?
- Yes
- No
Referrers Name
I understand and agree that NO PUPPY from Homestead Designer Doodles is purchased with breeding rights. All dogs are sold with a binding spay/neuter and health contract. Any purchaser who breeds or attempts to breed a Homestead Designer Doodles WILL have legal action taken out against them. We take this seriously. Please do not contact us if you think you may want to breed our puppy now or in the future. We will never grant breeding rights later in the life of the dog.*
- I understand and agree to these terms
I understand that the $400 reservation fee is non-refundable, but is transferable to another litter within one year. The Final payment is due at the time of pick up via Venmo, PayPal or cash (no checks).*
- I understand and agree to these terms
I understand that by submitting this application, I am verifying that all the provided information is true and correct. I am prepared to provide my license ID when I pick up my puppy so that Homestead Designer Doodles ca verify my ID and keep a record 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 terms

Puppy Reservation Fee*
Price:
Total
$0.00
Preferred Payment Method*
- Credit Card
- Paypal
- Venmo
Paypal Email
Venmo Username
Credit Card
Card Details
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

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Application Form

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