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Name
*
First
Last
Address
*
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City
State
Zip Code
Country
Email
*
What breed are you interested in?
*
American Hairless Terrier
Rat Terrier
Do you plan to participate and any of the following activities?
*
Agility
Breeding
Conformation
Flyball
Barn Hunt
Herding
Obedience
Therapy
Tracking
Nose Work
Do you own or rent your home?
*
Own
Rent
If you rent, do your have your landlords permission to have a dog?
*
Have you ever owned a dog before? If so, please tell us about your past dogs.
*
Do you currently have any animals? If so please tell us about them.
*
Please list names and ages of your children or any that may be around the dogs on a regular basis.
*
Please provide your vet's information for a reference.
Vet Name
*
First
Last
Phone Number
*
Vet Address
*
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Home
Males
Poe
Lenny
Rowdy
Females
Twiggy
Available
Planned Litters
Application
AHT Health
AHT Care
Bred By
Links
