Full Name
*
First Name
Last Name
Phone
*
Mobile (International Format +61 456 678 859
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Male
Female
Unsure
No Preference
Coat Colour
*
Black
Blue
Silver
Gray
Cream
White
Brown
Red
Apricot
Cafe Au Lait
No Preference
Coat Type
*
Wavy
Curly
Straight
Fleece
Smooth
No preference
Other
Markings
*
Black Markings
White Markings
Masking
Brindle
Black Phantom
Chocolate Phantom
Parti
Merle
Solid Colour (no markings)
No preference
Other
Size
*
Toy Size (3-4kg)
Average Size (4-5kg)
Medium Size (5-6kg)
No preference
Personality
*
Active Dog (who can go running with you)
Lap Dog (happiest when couch lounging)
Social Dog (are you a travelling retiree)
Confident Dog (do you attend large functions regularly)
Therapy Dog (do you need assistance with special needs)
Family Friendly (an all rounder that gets along with everybody)
No preference
Timing
*
I’m ready now!
1 - 3 Months
3 - 6 Months
6 - 12 Months
12+ Months
I’ll wait for as long as it takes to meet my preferences
No Preference
How did you hear about us?
*
Website
Google
Referral
Im a previous Client
Facebook
Instagram
TikTok
Snapchat
RightPaw
LinkTr.ee
Propps
Other
Additional Comments/Questions:
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