Dalmatian Interest
Name
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Email
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City
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Address
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State
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Zip Code
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Phone number
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How did you hear about us?
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Please list other family members in this household:
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Please list other pets in your household and include their ages:
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Are your children okay around dogs and other animals?
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Can you assure that no one in the dwelling is allergic to dogs?
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Yes
No
If you rent, are you prepared to always live in a pet friendly residence?
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Yes
No
Do you have a fenced yard?
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Yes
No
If not, how will you provide security for your puppy when it’s outside or when you're away?
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What are your work schedules? Is there someone home during the day or able to get home to potty-train a puppy?
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Where will this puppy spend the day and for how long?
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Where will this puppy spend the evening and night?
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Will this puppy have regular contact with it's family during the evening?
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Yes
No
Where will this puppy sleep?
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What type of personality are you looking for in your dog?
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Please provide other information you think will help me get to know you:
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What sex are you interested in?
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Male
Female
Would you consider a puppy of another sex if your preference is not available?
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Yes
No
On a scale of 1 - 10 how important are the looks of the puppy?
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Along those same lines, are you looking for something specific?
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On a scale of 1-5, where are you on your search?
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If you get puppy or dog from another location, will you inform us that you would like to be removed from the wait list?
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Yes
No
Are you aware that Dalmatians grow to be (approximately) 50lb dogs that shed (QUITE PROFUSELY)?
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Yes
No
Are you willing to attend training classes with this dog, if needed?
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Yes
No
Are you interested in providing a home for a deaf puppy and taking on their special needs?
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Yes
No
What do you want a dog for?
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Do you agree that, if for some reason you are unable to care for this dog, I will be contacted about its relocation and will need to be actively involved in finding a suitable new home or have the dog returned to me?
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Yes
No
Do you have a problem with a spay/neuter contract and limited AKC registration?
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Yes
No
If Yes, why?
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Have you ever owned a Dalmatian before?
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Yes
No
If No, what other breed of dog have you owned?
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Do you still own the dog(s) mentioned above?
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Yes
No
If not, what happened to the dog(s)?
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In the past, have you had any significant difficulties with dogs you have owned?
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Have you ever had a puppy you needed to make sure was raised and trained to your household’s specifications?
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Yes
No
Have you ever given up a dog to a shelter, pound, or rehomed a dog? If so, why?
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Who will have primary responsibility for the care of this puppy?
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Do all family members agree on the addition of a Dalmatian to the family?
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Yes
No
If not, who is not in favor of getting a Dalmatian and why?
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Do you agree to register your puppy’s microchip as soon as possible?
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Yes
No
Please provide the name, address, and phone number of your vet (or one that has worked with you in the [recent] past):
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