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Berger Picard puppy application.

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Thank you for the interest in our Picards. We appreciate you taking the time to answer the following questions so that the right 
decision can be made for you  and your future puppy. All information is confidential and used only by us at Double D Ranch.

Your Name: ___________________________________________________________________________________
Address: _____________________________________________________________________________________
Email: _______________________________________________________________________________________
Phone Number: _________________________________________________________________________________

How were you referred to us? _______________________________________________________________________

Are you interested in a  (  ) male  (  ) female  (  ) no preference

Why are you interested in obtaining one of our Picards?  (  ) Companion  (  ) Show   (  ) Breeding  (  ) Performance  (  ) Protection

Additional information:

What qualities do you like about the Breed? ____________________________________________________________
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Animals presently at home: _______________________________________________________________________
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Previously owned Animals: ________________________________________________________________________
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Are you committed to caring for this dog for it's lifetime? _________________________________________________

Have you ever had to euthanize a animal? If so why? _____________________________________________________
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Are you willing to spay or neuter this dog?  If no why? ___________________________________________________

If interested in breeding this dog will you do all the contractual health testing ? ________________________________

Family Data:

Are you:  (  ) Married  (  ) Single    Your Ages: _____________       Children: _______    Ages: ___________________

Others in the household who will have contact with the dog: ____________________________________________

Where will the dog stay during the day? ___________________________________________________________
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Where will the dog stay during the night? __________________________________________________________
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Any further information you wish for us to consider in placing one of our Picards with you. We would appreciate some insight into the expectations you have for this new family member. ____________________________________________________
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Please list current veterinarian, with contact info. ______________________________________________________

Please list three references: _______________________________________________________________________
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Do you have a fenced yard? ____________________ Are you in a (  ) Suburb (  ) City (  ) Rural/farmland 

Email to:  [email protected]
Snail Mail: Deanna Donohue
                       17530 CR 450A
                       Umatilla, FL 32784
                 








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