NAME:

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ACTIVITIES:  Please describe the activity level of your home, including the adult members of your family.

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CHILDREN:  Please provide information about children living at home, including their ages & description of their personalities.

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PETS:  Please include information about any other pets living in your home.

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FUTURE PUPPY:  Please describe for us, ranking the level of importance, the qualities you are seeking in your new family member.

GENDER:  [Male] [Female] [Either]  Level of Importance:  Most Important - [1] -  [2] - [3] - [4]  - [5]  - Least Important

COLOR/MARKINGS:  Level of Importance:  Most Important - [1] -  [2] - [3] - [4]  - [5]  - Least Important

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PERSONALITY:  Level of Importance:  Most Important - [1] -  [2] - [3] - [4]  - [5]  - Least Important

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