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Application
First name
*
Last name
*
Email
*
Phone
*
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Are you interested in a male, female or either
Male
Female
Either
Are you interested in a puppy, juvenile or adult
Puppy
Juvenile
Adult
Will your puppy be for a
Pet/ Companion
Obedience
Show/ Breeding
Other
Where did you here about us
Family/ Friend
Canadian Kennel Club
Breeder
Other
Your type of dwelling
House
Townhouse
Apartment
Other
Do you rent or own
Rent
Own
Do you have a fully fenced secure yard
Yes
No
Has anyone in your household ever been convicted of child or animal abuse?
Yes
No
Do you have the financial means to provide Optimal and preventative emergency Veterinary care?
Yes
No
Applicant understands and agrees that Selectabull Reg'd Boston's reserves the right to decline ownership to anyone for any reason at any stage of the adoption process.
Yes
No
Comments/ Questions
Submit
Home
About
Males
Brix
Females
?
Harmony
Trinity
Available
Info
Recommended Food
Contact
Links
More
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