Name:
Address:
Phone:
Your Email
Your occupation/age:
Spouse's occupation/age:
How many people in your household?:
Do you have children?:
Are you first time dog owner? Y/N If no, what other breeds do you own/owned?
If you own or have owned PWD, what experience have you had with it ?
Do you have other pets in your household? Describe the pet,age, living arrangments, wheter spayed or neutered,etc.
