Name *

First Name

Last Name

Phone *

please provide a mobile number where we can text your prior to a phone call

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have experience in any of the following with dogs?

Hunting

Conformation

Agility

Obedience/Rally

Therapy Work

None

Are you interested in participating in any of the following with your Spinone?

Hunting

Conformation

Agility

Obedience/Rally

Therapy Work

Hiking/Camping

Other

Which are you interested in? *

Male

Female

Brown

Orange

No Preference in either sex or color

First Reference Name *

First Name

Last Name

First Reference Phone Number *

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Second Reference Name *

First Name

Last Name

Second Reference Phone Number *

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