| 1.
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Full NAME:
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| 2.
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Email address (REQUIRED):
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| 3.
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Mailing ADDRESS (Street, City, State, Zip):
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| 4.
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PHONE number(s):
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| 5.
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How many people live in your household?
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| 6.
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List the ages of your children if applicable:
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| 7.
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Is anyone in your household allergic to dogs?
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| 8.
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Do you have a fenced yard and how high is the fence?
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| 9.
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Do you live on a main street or road?
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| 10. |
Please describe your housing situation and neighborhood.
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| 11.
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Do you anticipate any life changing plans within the next couple of years such as
moving or having children or getting married?
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| 12.
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Please list other any other pets that you currently have as well as any past experiences with pets including their breed.
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| 13.
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Are you interested in a Male or Female or a puppy that best suits your lifestyle?
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| 14.
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How many hours will your puppy be home alone? What plans do you have for
your dog when you are not home? Do you believe in crate training?
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| 15.
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What plans do you have for your puppy? (i.e., kept indoors, kept outdoors, obedience, agility, conformation, breeding, other)
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| 16.
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Please list any additional information you would like to share, or any questions you have for us:
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