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Your Name: *
Your Address: *
Phone Number and day/time when you can be reached: *
E-mail address: *
Vet referance name and phone number:
Why are you interested in getting a Dalmatian? *
Have you had Dalmatians in the past? *
If so, how long and what happened to them?
What type of home do you live in (house, apartment etc)? *
Do you have a fenced in yard? *
Do you plan to show or do performance at AKC events? *
Do you plan on breeding your Dalmatian? *
Do you own other animals? If so what are they and how many? *
Who are the members in your household and ages of children? *
Do you foresee any live changing events happening in your near future? (marrage, school, children etc.) *
Tell me about your family, schedules and obligations. *