| Q 1 |
Name: |
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| Q 2 |
E-mail: |
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| Q 3 |
Phone & Fax: |
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| Q 4 |
Address: |
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| Q 5 |
Profession: |
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| Q 6 |
How would you describe your past and present dog experience? |
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| Q 7 |
Number of dogs previously owned and breed: |
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| Q 8 |
Number of dogs presently owned: |
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| Q 9 |
Do you have any other animals?
Please, describe them (breeds, gender …): |
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| Q 10 |
How did you learn about Coton de Tulear?: |
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| Q 11 |
Why are you interested in owning a Coton?: |
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| Q 12 |
Why from Flamencoton?: |
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| Q 13 |
How many hours a day will the dog be home alone?: |
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| Q 14 |
Where will your dog be during this time? |
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| Q 15 |
If you will be away for work or vacation, how will the dog be cared for?: |
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| Q 16 |
On what occasions do you plan to use a crate, and if so, for how long?: |
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| Q 17 |
Where will the dog be kept during the day & where will he sleep?: |
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| Q 18 |
Please list family members & their ages: |
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| Q 19 |
Please describe yourself, your hobbies and your family: |
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| Q 20 |
Preference: Male or Female? |
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| Q 21 |
Any coat colour preference?: |
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| Q 22 |
Please check all that apply:
I want a Coton for: |
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| Q 23 |
Will you spay or neuter this dog?: |
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| Q 24 |
Date & Signature: |
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