For the love of Basenjis!
Puppy Request Form
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Basenjis
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Your Name
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City
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State
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How many are in your family
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1
2
3
4
5
6
7
Do you own or rent
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Own
Rent
Live with parents
Do you have a yard
*
Yes
No
Is the yard fenced
*
Yes
No
Do you own any pets
*
Yes
No
Dogs
*
Yes
No
Cats
*
Yes
No
Other
Have you owned pets before
*
Yes
No
How did you obtain those pets
What became of those pets
How did you hear about the Basenji breed
*
Are you interested in a male or female puppy
*
Male
Female
Doesn't matter
Will you crate train your puppy
*
Yes
No
Not sure
Will you take your puppy to training classes
Yes
No
Not sure
Have you ever returned your pet to the breeder or shelter
Yes
No
If yes, what were the circumstances
Are you interested in showing the dog in a conformation ring
*
Yes
No
Not sure
Agility
Yes
No
Not sure
Lore Coursing
Yes
No
Not sure
Obedience
Yes
No
Not sure
Do you intend to breed
Yes
No
Not sure
Have you bred before
Yes
No
If yes, what breed
When do you want to take possesson of the puppy
*
Comments
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Required
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