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Name:
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Email Address:
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Phone Number:
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Address:
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Occupation:
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Name & Age of Household members:
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Who will be responsible for the dogs care:
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Is someone home during the day
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Yes
No
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If no how is this handled:
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Do all family members want a dog:
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Yes
No
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Are any members of the household allergic to dogs:
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Yes
No
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Do you
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Rent
Own
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Apartment
Townhouse
House
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Yard size and Fencing Type
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Have you ever owned a dog? When? What happened:
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What pets do you presently own:
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Have you ever met an Irish Red and White Setter in Person:
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Yes I have one
Yes
No
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When/How did you become acquainted with the Irish Red & White Setter
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Do you understand IRWS shed and are high energy dogs:
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Yes
No
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What makes you think this is the right breed for you
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Dog will be housed:
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Indoors
Outdoors
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Do you plan on crate training:
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Yes
No
Tell Me More
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Who will take care of the dog when you are gone for extended periods or vacations:
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How will the dog be confined in your absence:
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Veterinarian’s name, Address, Phone:
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Your puppy will require housetraining, socialization, training classes, daily exercise and weekly grooming. It will be much like having a new baby in the way it disrupts your life. Do you understand the time, energy & commitment required to get a puppy through its first year?
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Yes
No
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What will you do to get through this:
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Will you allow for a home inspection by either Chequamegon or one of its friends prior to the sale of the puppy:
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Yes
No
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In placing dogs with buyers, I consider this agreement a pact between parties to secure the dog’s welfare for its lifetime. In this agreement, I offer lifetime refuge for any dog I produce which buyer cannot keep. Will you promise to return the dog to me should some unforeseen circumstance prevent you from keeping the dog any longer with little or no monetary refund?
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Yes
No
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Puppy Prefrences
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I am interested in
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a puppy
an older IRWS
either
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Preferred Gender
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Male
Female
Either
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Do you intend to Spay/Neuter
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Yes
Yes but after they turn 2
No, I want to breed
No, I just dont want to spay/neuter
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What are you looking to do with pup
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agility
companion
hunting
hunt tests
field trial
obedience
therapy
tracking
breeding
other
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if Other Please specify:
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