We do not take finding the perfect home for each of our dogs lightly.  In order for you
to be considered as a potential home, this form must be completely filled out.  
Verifiable references are required and will be contacted. Since we do not breed often,
and usually have waiting lists for our litters, we are happy to refer you to other
Boston Terrier Breeder/Exhibitors that may have a puppy available. Make sure that
you give permission in the form below to have your request forwarded.


Phone/Cell phone:



Two personal references:

Reference phone numbers:

Do you live in a single family home,
or an apartment, condo, etc...

Where will dog spend most of it's
time (yard, house, kennel, etc...)

Please list the members of your
household and their ages:

Do you have a fenced yard for
exercising/pottying the dog, and if
not, how will this be handled?

Please list all current and past
pets, and the reasons why the pet
is no longer with you, if applicable:

Name of Veterinarian and clinic:

Vet's phone number:

What are your plans for this dog,
i.e. dog shows, obedience trials,
family companion, etc...

Do you prefer a male of female, or
no preference?

If you are not purchasing this dog
to show in conformation events,
are you willing to spay/neuter?

What age do you prefer, puppy,
young adult, older dog...

If we do not have a dog available
to meet your specifications, may
we forward your request to other
reputable show breeders?

Please give us any further
information that may assist us in
helping you find the right Boston
Terrier to meet your needs, and
list any other questions or
comments that you may want us to

Thank you for your inquiry. We will
get back with you as soon as