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Tammen's Basenjis Puppy Application
Our Breed:
Basenji
Contact information
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Puppy preferences
Gender:
No preference
Female
Male
Preferred Coat Color:
Tri
Red/White
Brindle
Black/White
Other Information
Kids:
Allergies:
Other pets at home:
Delivery:
No preference
Flying
Other
Pickup
Preferred Date:
Note:
How did you hear about us?:
Please Select
Referral
Good Dog
Tammen's Basenji Website
Facebook
Are you on any other breeders waiting list?:
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No
Would you be interested in joining a Basenji club?:
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Yes
No
What are you going to do to commit to this puppy?:
What sets a Basenji apart from other breeds?:
Please explain why you feel you are ready for a puppy?:
If you are interested in breeding your Basenji please explain why?:
Are you interested in breeding your basenji?:
Please Select
Yes
No
Are you interested in doing FCAT, CAT, Lure Coursing with your Basenji?:
Please Select
Yes
No
Are you interested in doing competive obedience/rally obedience or agility with your basenji?:
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Yes
No
Are you willing to do basic obedience classes with your basenji?:
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Yes
No
Are you interested in showing your Basenji?:
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Yes
No
Do you have a gender preference?:
Please Select
Female
No preference
Male
Name and phone number of the veterinary that sees your pets now.:
Do you plan to have a pet sitter or dog walker?:
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Yes
No
Does anyone in the family have pet-related allergies?:
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Yes
No
How would you classify your home?:
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Quiet
Fairly quiet
Active
Very active
Will you be letting your basenji off lead?:
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Yes
No
How do you plan on keeping your Basenji active and engaged?:
How much time will you Basenji be spending outside?:
Do you have a secured yard? If so what type of fence? Height of fence?:
Name and phone number of landlord/rental agency.:
Do you own or rent your home?:
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rent home
own home
live with family members
Do you currently have any non-dog pets? Do you plan to?:
Do you currently have any dogs and if so what breed? Have you had dogs in the past and what breed? How long did you have them? If you did not have them all their life please give reasons?:
Number of people in household and ages?:
Email address:
Phone number:
Address :
Occupation:
Name:
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