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Cali
Cole
Ben (RETIRED)
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Questionnaire Form
Contact Me
Please fill out the questionarrie form below in order to be considered for a puppy request. All puppies are
$3,500
-
NO BREEDING RIGHTS
A
$500 DEPOSIT
must
be sent when puppies are born to secure your spot!
FULL NAME
PHONE NUMBER
EMAIL
STREET ADDRESS
CITY/STATE
ZIP CODE
Do you have other animals inside/outside the home?
Select your option
Yes
No
If Yes- please list how many animals/ the sex of other animals/ and if they are friendly towards new dogs-- Enter N/A if answer is 'No'
How many hours per day will the puppy be alone? Please list below--
Do you have children present in the home?
Select your option
Yes
No
Other
If Yes- please list their age and how many below-- Enter N/A if answer is 'No'
Do you plan to take puppy/dog to group classes?
Select your option
Yes
No
I plan to socialize my dog myself
Do you need transport or do you plan to pick up puppy?
Select your option
I will need transport.
I plan to pick up the puppy.
Do you have a fenced in yard?
Select your option
Yes
No
No, but in the process of building one
Do you own your home?
Select your option
Yes
No
Preferred Sex
Female
Male
No Preference
Send message
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