| Spouse | Yes No |
| Children | Yes No |
| Ages | |
What type of puppy are you looking for?
| Male | Female | |
| Hunting | Breeding | Family Pet |
| Black | Chocolate | Yellow |
| Do You: | Own Rent Have a fenced in Yard |
| Do you have room for the puppy to play and exercise? | Yes No |
| Where will the puppy be kept during the work hours? | |
| Are you going to crate train? | Yes No |
| Are you planing on any specific training for the puppy? |
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