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Puppy Application
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Email
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Your email
Name:
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Address:
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Phone:
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Best time to reach you:
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Family
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married
single
divorced
other
Your age:
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Children:
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Do you live?
City
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House own
House rent
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Do you have a secured fenced in area
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No
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Are you interested in a
Puppy
Older trained adult
No preference
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Gender
Female
Male
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What qualities do you like in the Black Russian Terrier Breed?
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What don't you want to find in a Black Russian Terrier?
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Would this be your first Black Russian Terrier?
Yes
No
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Previously owned dogs
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Animals living in your home currently
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Please explain why you have chosen this time to bring a new dog into the family and how all the family members feel about it
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Are you committed to caring for this dog for its entire lifetime?
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Who will be the primary care giver for the puppy
Your answer
What percentage will your dog be in the following
10 or less
25
50
75
100
House
Yard
10 or less
25
50
75
100
House
Yard
Have you house trained a puppy before
Yes
No
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Have you trained a dog before
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No
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Are you willing to attend training classes with your puppy?
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No
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Black Russian Terriers require regular grooming, who will be responsible for it
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Are you willing to spay/neuter this dog?
Yes
No
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If you are considering breeding do you promise to have all health testing done, finish it in the conformation ring, and title it in one of the working modalities as well as consult the breeder prior to breeding?
Yes
No
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Do you have any special concerns about the breed?
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When and where did you learn about the Black Russian Terrier breed?
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How did you hear about us?
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Would you like to come and meet our Black Russian Terriers?
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No
Maybe
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Are you willing to keep us informed of your puppy's progress with regular updates and photos
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No
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Signature:
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