Site Last Updated: June 3, 2008
Web Design, Hosting & Maintained by: Breeder Web Design
Our Policies
Full Name:
*
E-mail Address:
*
Phone:
Address:
*
City:
State:
Zip:
Do you rent or own:
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Rent
Own
How long at residence:
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Occupation:
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Spouses Occupation:
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Do you have a fenced yard?
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Yes
No
Partial
Please explain inside/outside conditions:
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What type of flooring do you have in your home?
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What brand of food do you currently feed, or will you fee?
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Can you commit to feeding an all natural dog food?
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Yes
No
Please describe the weekend at your home:
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Please describe a weekday at your home:
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Are we welcome to visit your home?
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Yes, sure.
No, sorry.
Can you provide home and family photos?
*
Yes
No
Have you owned dogs before? If yes what breeds?
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Please list previous pets w/in the last 7 years.
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What dog training classes do you have experience with? [i.e. shows, competitions, working]
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Will you attend obedience classes with this puppy?
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Yes
No
If no please explain:
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Do you prefer MALE or FEMALE?
*
Male
Female
No Preference
What quality type: [check all that apply]
*
PET ONLY
SHOW
BREED
WORK/SPORT
Please list color in order of preference:
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Main purpose/event for this puppy:
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Do you want natural or cropped ears?
*
What is your ideal temperament:
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Will you spay or neuter by 6 months of age?
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Yes
No
List Your Vet Reference, 1 Family Reference, & 2 Personal Reference with their contact numbers:
*
Your Electronic Signature, By typing your full name here you confirm that all content of this application is true:
*
*
Required
Pet Only
Breed/Work
Breed/Show/Work
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