Apply for a Puppy
Name_____________________________________________________________________________________________
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Street Address___________________________________________________________________________________
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Town, State, Zip__________________________________________________________________________________
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Phone number___________________________________________________________________________________________
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Email Address__________________________________________________________________________________________
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Occupation:______________________________________________________________________________________
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Allergies in family_______________________________________________________________________________
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Children in family (ages):_______________________________________________________________________
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Other pets at home/breed/gender:___________________________________________________________________________
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Fenced Yard or dog park nearby?_______________________________________________________________
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Number of hours you will spend with your pup daily __________________________________________
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When working, where will your pup be?_______________________________________________________
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Have you owned a dog before?______________ Do you want a male or female?_________________
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Will this pup be a service/therapy dog or a pet?_____________________________________________
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Do you prefer medium or standard size?___________ Do you want F-1 or F1-B?________________
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Color preferred__________________________________________________________________________________
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How were you referred to us?__________________________________________________________________
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SIGNATURE____________________________________________________________DATE____________________