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Mailing Address:4595 Petaluma Hill Rd., Santa Rosa, CA 95404
I sincerely hope that you have found our site to be helpful and easy to use. You may contact me by postal mail or filling the fields below:

 First Name (required):


 Last Name (required):


 E-Mail Address (required):


 Primary Phone Number:


 Secondary Phone Number:


 comments (required):

The following questions are being asked of you so that the right puppy and the right placement of each puppy is made by bringing the various requirements of both the puppy and his or new owner(s) into perspective, BEFORE a choice is made. I hope you will agree that the animal's welfare must be my foremost consideration in considering a placement. Please answer the following questions as completely as you can, and submit this form when you've finished.

Type of dwelling: House ;   Condo ;   Apartment ;   Mobile Home
Address: City: State: Zip:
 1. Who will be the primary care giver and how many people live with you?


 2. Where will the puppy be kept during the night?


 3. Where will the puppy be kept during the day?


 4. Is anyone home during the day?
Yes
No
Other. Please explain:

 5. How many hours on the average will the puppy be left alone?


 6. Will there be someone available to feed and exercise the puppy during the day?
Yes
No

 7. Do you have any other animals?
No
Yes. They are:

 8. Do you have any children? If yes, what are their ages.
No
Yes. Their ages are:

 9. Are you interested in a male or female puppy?
Male
Female
Either Male or Female.
Undecided.

 10. Have you considered an older dog instead of a puppy?
Yes
No
Undecided. Please explain:

 11. How did you hear about this breed?


 12. How many hours a day will the puppy be kept outside?


 13. How will he be confined when he is outside?


 14. Do you have a fenced yard or suitable pen?
Yes
No
Other. Please explain:

 15. Have you ever house trained a dog before?
Yes
No

 16. Will you be attending any training classes?
Yes
No
Other. Please explain:

 17. Are you interested in showing the dog in the conformation ring?
Yes
No
Undecided.

 18. Are you interested in competition in performance events such as obedience, agility etc.?
Yes
No
Other. Please explain:

 19. Do you intend to breed the dog?
Yes
No
Undecided.

 20. Do you understand the difference between a limited registration and a full registration?
Yes
No




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