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Dog Model Information – Blueberry Pet
29
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1
Your Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Address
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We respect your privacy.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Afghanistan
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Cote d'Ivoire
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
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New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
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Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
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Slovenia
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Somaliland
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South Ossetia
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Sri Lanka
Sudan
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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4
Best number to reach you
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5
Can we communicate with you via text message?
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Yes
No
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6
What's your dog's name?
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7
Dog's Age
*
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If you don't know the exact age, an estimation is perfectly fine
mm/dd/yyyy
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8
Gender
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Male
Female
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9
Breed
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10
Size
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Under 10 pounds
11-25 pounds
26-50 pounds
51-75 pounds
76-90 pounds
90+ pounds
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11
Color
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12
Coat Type
*
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Smooth Coat (eg. Bull Terrier, Dachsund)
Double Coat (eg. Chow Chow, Husky, Collie)
Wire Coat (eg. Airedale, Irish Wolf Hound)
Curly Coat (eg. Poodle, Bichon Frise)
Long Coat (eg. Shih Tzu, Yorkie, Maltese)
Hairless (eg. Mexican Hairless
Not sure
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13
Weight
*
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Underweight
Normal Weight
Overweight
Obese
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14
Any health issues or allergies?
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15
Training Level
*
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Check all that apply
None
Basic Obedience
Intermediate Obedience
Advanced Obedience
Agility Dog
Therapy Dog
Canine Good Citizen
Service Dog
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16
Tricks and Commands
*
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Check all that apply
None
Sit
Down
Stand
Shake / High 5
Jump
Come when Called
Sit Stay
Down Stay
Stand Stay
Roll Over
Bark
Smile
Sit Pretty / Sit Up
Take It and Hold It (eg. a toy)
Plays Fetch and Retrieves
Frisbee Dog
Downward Dog
Heel / Loose Leash Walking
Other
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17
Is your dog reliable off-leash?
*
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Never
Sometimes
Most of the time
Always
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18
Does your dog enjoy swimming?
Yes
No
Only in calm waters
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19
Personality
*
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Check all that apply
Friendly
Indifferent
Shy
Sweet
Bossy
Goofy
Distracted
Focused
Happy
Calm
Excitable
Sassy
Old Soul
Mischievous
Serious
Smart
Alert
Sensitive
Loving
Funny
Athletic
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20
Is your dog easily distracted by people?
*
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Yes
No
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21
Behavior with Strangers (People)
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22
Is your dog easily distracted by dogs?
*
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Yes
No
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23
Behavior around Other Dogs
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24
Confidence in New Situations/Places
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No confidence
Low confidence
Confident
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25
Energy Level
*
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Couch potato
A couple of walks a day will do
Active
Bouncing off the walls!
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26
If your dog has Instagram, please share his/her handle:
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27
Please upload a photo of your dog!
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Select files to upload
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28
Model Release
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For consideration, receipt of which is hereby acknowledged, I, the undersigned, being the legal owner of, or having full legal rights to permit use of photographs of, property designated herein, grant to PAWS AND PLAY STUDIO (“Photographer”), his/her agents or assigns, the full rights to use such photographs and copyright same, in advertising, trade, or for any lawful purpose. I agree that the photographs may be combined with other images, text, graphics, audio, and/or video; and may be cropped, altered or modified, and I waive the right to inspect or approve the finished product or copy and any use thereof. I agree that the photographs, reproductions, and negatives thereof shall constitute Photographer’s sole property, and that Photographer has the full right to dispose of any or all of them in any manner whatsoever. I hereby forever release and discharge Photographer and his/her respective representatives, licensees, successors, and assigns from any and all claims, actions, and demands arising out of or in connection with the use of said photographs, including, without limitation, any and all claims for invasion of privacy and libel. I acknowledge and agree that this release is binding upon my heirs and assigns. I agree that this release is irrevocable, worldwide and perpetual, and will be governed by the laws of the state of California. I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release. If I am signing this form on behalf of, or as an agent or employee of a company or organization, I warrant that I have full authorization to do so.
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29
Terms and Conditions
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