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"PUPPY OWNERSHIP APPLICATION"

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Name:
Address:
Phone Number:
Email Address:
Age:
Relationship Status: Married
Single Live Alone
Single Live with Others
Do you have children?
If Yes - What are their ages
Please list you experience owning dogs (include type of dog, years owned, cause of death or loss)
Who will take are of the pup during the day and how many hours will it be alone?
Do you have a fenced yard?
List the Name of the Person who will be the primary care giver for the puppy
Coat Type Preference Wavy
Curly
Either
Gender Preference Male
Female
Either
Color Preference Black
Black with Lots of White
Brown
Brown with Lots of White
Party
Any
What are the PWD Personality characteristics you most desire - select as many as are applicable Active
Affectionate
Aggressive
Attentive
Calm
Confident
Demanding
Dominant
Easy Going
Energetic
Friendly
Happy
Hard Headed
Loyal
Loving - children
Loving - older adults
Obedient
One Person Dog
Passive
Playful
Protective
Quiet
Reserved
Sensitive
Smart
Social

List other characteristics you desire as well as the most important one
When do you want to add a pup to your family? Now
1-2 Weeks
1 Month
3 Months
more than 3 months
How did you learn about our pups? PWDCA Breeders List
On Line Search
Friend
Other
Comments, Concerns and or Questions

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