Name
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First Name
Last Name
Email
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Phone
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(###)
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City & State
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Occupation
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Tell us a little bit about yourself and why you’d be a good home for one of these puppies:
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Number of family members
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Do you have any children? If yes, what are their ages?
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Who will be the primary care giver of the puppy?
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Have you ever owned a dog before? If yes, what breed(s)?
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If yes to the question above, how long did your last pet live? What were the circumstances of its passing?
Do you currently have other pets/animals? If yes, please specify:
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Do you already have a trusted veterinarian? If so, please provide the vet's name, clinic name, and phone number:
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If there would be changes in your family’s situation such as a change in occupation, residence, or having a new baby, what will happen to the dog?
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Have you ever returned a pet to the breeder? If so, what were the circumstances?
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Have you ever given a pet away OR taken a pet to a pound/shelter? If so, what were the circumstances?
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Type of Dwelling
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House
Condo
Apartment
Mobile Home
How long have you lived at this address/home?
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Where do you plan to keep the dog?
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Why do you want this specific breed?
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Have you done research on training, owning, and caring for a puppy/dog?
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Yes, I've done lots of research and am fully prepared for the commitment to take care of a puppy!
Yes, I've done some research, but would love more information and recommendations.
Not yet, but plan to before picking up my puppy.
No, but would love some guidance and recommendations on where to start.
Are you aware of the health issues that may affect this breed?
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Yes
No
Are you interested in a male or female?
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Male
Female
Both
Do you intend to breed this dog?
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Yes
No
Do you plan on having the dog spayed or neutered?
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Yes
No
The first four weeks with your puppy will be a HUGE adjustment, time commitment, and a lot of work as you’re bringing in a new member into your family! Have you considered your daily life and schedule and are prepared to commit the time and energy necessary to take care of this new family member?
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Yes! I am fully prepared to commit to taking care of this puppy through the puppy stage and the remainder of their life.
No, I'm not fully aware or prepared and would like more information on how I can best prepare for this adjustment.
Do you have any questions or other information you want to share? Feel free to let us know!
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