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Your Name:
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Address:
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City:
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State:
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Zip:
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Home Phone:
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Work Phone:
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E-mail:
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How large is your yard/or how many acres?
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Do you have a fenced yard?
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Yes
No |
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If so, what type of fencing?
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If you do not have fencing, how will you handle
the puppies exercise and toilet duties?
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How many adults and children in household?
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Ages of children?
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Do you own other dogs?
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Yes
No |
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If yes, describe breed:
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If you own a dog(s) and/or cat(s) please
give the name, address, and phone number
of your veterinarian:
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Why did you choose this breed?
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How many dogs have you owned in the last ten years?
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If you have owned dogs in the last 10 years
that are not presently living with you, what happened
to the dog(s) and be specific:
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Will the puppy reside in the house?
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Yes
No |
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Will the puppy be allowed in main living space of house?
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Yes
No |
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If you work, how will the puppy spend its days?
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How will the puppy spend the night? Crated or Uncrated?
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How many hours on the average will the dog spend alone per day?
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List all plans for this dog: Pet, Guard, Herding,
Obedience, Breeding, Conformation, Agility, Other:
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Additional Questions/Comments:
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