| Name: |
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| City,State |
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| Phone |
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| Email Address: |
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| Name of your veterinarian. |
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| Have you done any research on the Bichon Frise prior to filling out this application? |
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Please tell us a little about yourself.
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| Do you have children? and if so, what are their ages? |
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Do you have other pets in your home? dogs, cats, etc.
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| What type of work do you do and what is your work schedule? |
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How long each day will puppy be left alone?
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| Is your yard fenced? |
Yes
No |
What type of fencing?
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Why are you choosing a Bichon as a new family member?
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| Areyou looking for a Show/Breeding puppy or a companion puppy? |
Show/breeding potential puppy
Companion puppy |
| Sex preference |
Male
Female
No preference |
| Reason for sex preference. |
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| Where will your Bichon sleep at night? |
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Where will he spend his days?
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Will you feed a quality feed?
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Will he be pampered and treated like a member of the family?
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Will you provide quality veterinary care, good grooming, and dental care?
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| In case of a veterinary emergency are you willing and able to provide what is needed to provide him with proper care? |
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| Would you consider purchasing VPI pet insurance? |
Yes
No
Not sure, need more info |
| Would you keep us posted on training issues, puppy growth and development, and send occasional photos? |
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Any additional information you would like to add.
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