Colra Dane's Puppy Application
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Name
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DOB
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Partner
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DOB
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Children w/Ages
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Home Address
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Rent/Own
Rent
Own
Other
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How Long
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Home Phone
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Cell Phone
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Email Address
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Employer
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Spouse's Employer
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Personal Refereneces (1) (Name & Phone Number)
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Personal Refereneces (2) (Name & Phone Number)
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Veterinarian (Name, Address & Phone Number)
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Fenced Yard (Check All Applicable)
3'
4'
5'
6'
8'
Chain Link
Steel
Wood
None
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Pool or Spa (Check All Applicable)
Yes
No
Fenced
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Do you own any other pets, if so tell me a bit about them
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If you have or have had Great Danes are you in contact with your Breeder
yes
No
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If you have or have had Great Danes may I contract your Breeder
Yes
No
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Indicates Response Required
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