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Application for Mira's and Rocket puppies
After you fill out this application, we can add you to the waiting list and when it's time, we will contact you to go over details.
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Email
*
Your email
Name
*
Your answer
Address
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Your answer
Phone number
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Your answer
Date of Application
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MM
/
DD
/
YYYY
Gender Preference
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Male
Female
No preference
We cannot guarantee the exact color your puppy will be as an adult, what color puppy would you prefer?
Black
Parti
No Preference
Clear selection
How would you like to get your puppy?
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Personal pickup
Meet the breeder at his/her local airport
Ground Transportation (Cost varies)
Do you currently have other dogs?
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Yes
No
Tell me more about your pets. I'd love to know their ages, breeds, and where you got them from!
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Your answer
What type of home do you live in? (Home, Apartment, Townhouse, or Other)
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Your answer
Do you have a fenced yard?
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Yes
No
Will you be the primary caretaker of the puppy? If not, who will be?
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Your answer
Do you currently have children in the household
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Yes
No
Tell me more about yourself. Your lifestyle, family (if you have one) or anything else to help me make sure you're a good fit for my pups!
*
Your answer
Preferred contact method
*
Email
Phone
Required
Questions and comments
Your answer
Send me a copy of my responses.
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