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Puppy Application
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Name
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First
Last
State residing in
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Who may we thank for referring you?
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Internet Search
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Friend
Other
Facebook
If Other please specify:
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What is your age?
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18-25
26-35
36-50
Over 50
Prefer not to say
Own Rent or other?
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Own
Rent
live with parents or others
Do you have children at home?
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Yes
No
ages of children at home
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0-5 yrs old
6-10 yrs old
11-17 yrs old
over 18 yrs old
Email
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Phone Number
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Do you want a Male or Female puppy
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Male
Female
not picky
maybe one of BOTH!
owned ShihTzu before? Size?
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Yes over 9 lbs
Yes 6-9 lbs
Yes under 6 lbs
No, but I want to!!
Do you have a fenced in yard?
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Yes
No
working on it
Will your pup be an inside or outside dog?
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Inside
Outside
some of each
How long would puppy be alone each day?
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Never
under 2 hours
2-4 hours
under 8 hours
most of the time
Please tell us a bit about your homelife
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