Name *

First Name

Last Name

Phone *

(###)

###

####

What gender are you looking for? *

Boy

Girl

No Preference

Both

Are you looking for a: *

(Check all that apply)

Family Companion

Hunting Partner

Show Dog

Therapy/Service Dog

Breeding Prospect

Not interested in breeding (plan to spay/neuter)

Are you familiar with the breed OR have you ever owned a Chessie before? *

Yes

No

Do you have a securely fenced yard?

Yes

No