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Application

* Indicates required field

Name (First & Last) *

First

Last

Email address: *

Phone Number *

Address *

Color preference *

Chocolate Black Cream Parti Black/white Parti Brown/white Any

Coat preference *

Curly Wavy Flat Any

Gender preference *

Male Female Any

Do you have other pets? *

Yes No

If so, how many and what kind? *

Do you have children? *

Yes No

What ages? *

Do you have a fenced yard or other space for your puppy to run? *

Why is your family a good fit for a new puppy? *

What will a typical day look like for your new puppy? *

I agree to receiving marketing and promotional materials

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