| Full Name: |
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| Home Address: |
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| E-Mail Address: |
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| Home phone number: |
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| Work phone number: |
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| Best time to call: |
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| Are you willing to sign a contract stating that the dog will not be used in any illegal activities: |
Yes
No
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| Will you be showing or competing with this dog in any of the following: |
Conformation
Obedience
Agility
Weight Pull
Schutzhund
French Ring
None of the above
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| Do you currently own ANY animals: |
Yes
No
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| If yes please list all of the animals you own: |
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| Have you ever owned this breed of dog? How long did you own this dog? What happened to your dog or where is that dog now? |
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| Are you looking for a: |
Male
Female
No Preference
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| Do you prefer a puppy, adult, or no preference: |
Puppy
Adult
No Preference
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| Do you have a preference in color and weight: |
YES
NO
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| If so specify your preferences, Let us know what body type you like: |
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| What airport are you near or are you willing to drive to pick up your dog: |
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| Do you live in: |
Home
Apartment
Condo
Farm
Other
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| If other please specify: |
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| Do you own or rent: |
OWN
RENT
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| If you are renting, do you have permission to own a dog: |
YES
NO
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| Can this be verified with the landlord: |
YES
NO
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| Name, address and phone number of landlord: |
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| Home setting: |
Urban (city)
Suburban (outside city)
Rural (country)
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| Does your municipality have breed specific restrictions: |
YES
NO
Unsure
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| If above answer yes, please explain: |
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| Where will the dog reside: |
House
Yard
Both
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| If your answer was yard or both; how will the dog be contained in the yard? |
Fenced yard
Chain
Kennel
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| If your answer was fenced yard specify type of fence and height: |
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| Your yard size is: |
Small
Medium
Large
Acreage
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| Will there be children living with the dog: |
YES
NO
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| If yes what are the ages of the children: |
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| Of all the breeds available, why do you want an American Pit Bull Terrier: |
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| Please relate any prior experience you have had with this breed: |
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| Please supply the name and phone number of your veterinarian, obedience trainer (if you have one) and 2 other references: |
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| Please use this space to give any additional information that might help find a suitable match for you: |
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Please fill out,copy, paste and email to tri_tek_kennel@yahoo.com |