THE URBAN SHOW DOG QUESTIONNAIRE

Please note that this questionnaire is not designed to be filled out online. Simply copy and paste the contents into an email and add your answers, or type the answers without copying the questions. Thank you.

Email questionnaire contents to: madterv@yahoo.com

(1) NAME:

(2) ADDRESS:

(3) PHONE:

(4) EMAIL:

(5) DOG'S NAME:

(6) AKC REGISTERED NAME:

(7) BREED:

(8) COLOR

(9) DATE OF BIRTH:

(10) AKC REGISTRATION #:

(11) BREEDER:

(12) AKC TITLES (IF ANY):

(13) OTHER DOG ACTIVITIES:

(14) PREVIOUS TRAINING (ANY KIND):

(15) VETERINARIAN:

NAME:
CLINIC:
ADDRESS:
PHONE:



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Kathy Madden
AKC Judge #92226
New York, NY