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(Questions marked with an asterisk * are required)
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what is your occupation?
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Work information: Name of Co. Address: Phone #: Email address:
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do you live in a house or apartment?
If you live in a private house, is the yard fenced in?
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Have you ever given a pet up to the dog pound, rescue, etc? if yes, please explain why.
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do you have children? if so how many and what are their ages?
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If there is anything you want me to know about you and your family, please include it here.
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This section you will be asked breed specific questions.
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This section applies to those looking for a Show Prospect. These questions will help decide which puppy will best fit your household.
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Have you ever shown in AKC Confirmation? If so, how long have you been showing?
Have you ever showed in Agility? If so, how long?
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This portion applies for Pet Companion Puppies Only.
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In your own words why have you decided on the specified sex?
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If No, please explain why.
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If no, please explain why?
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This section is for both Pet Companion and Show Prospect.
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Do you have a Vet? If so, please give the vets company name: The vets name: The Address: The Phone #: The Fax #:
How long have you been using this vet?
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Thank you for filling out my application, this will help me to get to know you better. Once I have reviewed your application, I will be contacting you via email or phone.
Once again Thank you
Nina
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