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First name
Last name
Email
Phone #
Best time to contact you?
Occupaton
Preferred Dog Gender
Male
Female
Preferred Dog Size
Mini
Medium
Standard
Preferred Dog Color
Preferred Adult Temperament
Energetic and Playful
Gentle and Calm
Loyal and Protective
Is this your first dog?
Yes
No
Other pets in the home?
Would you like breeding rights?
Yes
No
How did you hear about us?
Do you agree to the following?
Feed my pupppy high quality food
Regular vet visits and appropriate shots
Deworming and heart worm protection
Training my puppy appropriately
Return my puppy to the breeder if I can no longer care for him/her
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