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RLA MAS Puppy/Dog Application
First name
*
Last name
*
Phone
*
Email
*
What are you looking for in a puppy?
Pet/Companion
Performance
Show/Breed
What is your age preference?
Puppy (8-16 Weeks Old)
Older Puppy (16 Weeks to 1 Year)
Adult (1 Year +)
Retired Adult (4 Years +)
Size Preference
Under 20 Pounds
20-30 Pounds
30+ Pounds
Gender Preference
Male
Female
No Preference
Color Preference
Blue Merle
Red Merle
Black Tri
Red Tri
No Preference
What is your time frame for receiving a new dog/puppy?
Are you familiar with the breed?
Do you have children? If yes, please list ages.
Do you have any other pets? Please list species and whether intact or neutered/spayed.
Do you have a means for your puppy/dog to obtain plenty of exercise?
Do you understand that a nonrefundable deposit is required to hold a puppy?
Yes
No
Are you over the age of 18 or do you have permission from a parent/guardian to discuss a potential new family member?
Yes
No
Other
How did you find us?
Do you have any questions?
Submit
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