1. Who is adopting the puppy:
2. Your Address:
3. City:
4. Your Phone #:
5. Who will receive this puppy? (i.e. yourself, another family member, gift for whom?)
6. Do you prefer male or female?
7. Do you have a color preference?
8. Do you own your own home or, have a landlord's permission to have a dog?
9. How many children at home?
10. Children's Ages?
11. Does everyone in your family agree to adopt this puppy?
12. Do you have any other dogs or pets?
13. Do you plan to make this puppy a member of your family?
State:
Zip:
How many grandchildren live close by or in your home?
If yes, what kind (and age if a dog)?
14. Where will your puppy live and play?
15. Do you have a veterinarian?
16. Do you understand that if you change your mind for any reason or find another puppy elsewhere, we do not refund your $110.00 adoption application fee?
Once your application is approved, your full adoption fee payment reserves your puppy selection place. 
Adoption application fee is deducted from total adoption fee.
17. Do you understand that puppies are unpredictable and we cannot guarantee adult size and color?
18. Do you agree to return the puppy (dog) to Tillie's Tots, at your expense and with no refund, in the event you are unable to keep him/her any longer and are unable to find a suitable home for him/her?
19. Do you agree not to place this pup/dog in an animal shelter at any time in the future?
20. We are happy to schedule out-of-town delivery (extra charges may apply).  This service can save you considerable time traveling.  Would you like us to make delivery arrangements with you for your puppy?
21. By what method would you like to take delivery of your puppy 56 days after the birth unless otherwise notified?
22. I understand that my adoption application fee will be placed in the order it is received and that it will be transferred to the next available litter as necessary:
23. Why have you chosen a puppy from Tillie's Tots, and how did you locate us?
E-mail Address:
To fill out this adoption application on line, complete all the questions below and hit the SUBMIT button at the bottom.

If you would like to fill out a paper application, click on the file to the right,
where to send instructions are at the bottom of the page
24. How will you pay your adoption fee?