Name of the dog you are interested: | Carla |
Your name: |
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Home phone number: |
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Business phone number: |
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Cell phone number: |
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E-mail: |
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Address: |
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City: |
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Zip: |
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State: |
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Your age: |
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Age of your spouse (if applicable): |
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Age of your children (if applicable): |
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Your occupation: |
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Your spouse's occupation (if applicable): |
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You or your family's previous dog training/handling experience: |
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Who will be the dog's primary handler |
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Where do you live? |
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Your favorite activities: |
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Please rate your physical conditioning. Be honest! |
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Do you or your family have any allergies? If yes, please explain. |
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Do you travel often? If yes, what is the average length of absence? |
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Has your life ever been threatened? If yes, please explain. |
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Do you possess firearms for self-defense? |
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Do you speak a language other than English? If yes, which language? |
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Do you have other pets? If yes, please describe. |
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Briefly, explain your primary motive for purchasing a protection dog. |
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Please enter the code you see on the right. |
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We hope you do not find these questions intrusive. They are important in the K9 placement process, but do not answer any questions you are concerned with. |
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