Name *

First Name

Last Name

Are you willing to ensure us that this dog will never jump off of any furniture or stairs to protect its back for the entirety of its life? *

Absolutely

Sometimes

No

Will this new addition be kept inside or outside? *

Outside

Inside

Both

Are you familiar with this breed? *

Yes

No

Have you had a chance to check out our Frenchie guide with lots of helpful tips and tricks about this breed? *

No

Yes

I’ll check it out in the future

Do you have a vet that is good with this breed or willing to find one that specializes in this breed? *

Yes

No

I need help finding a vet

Have you ever had to give up an animal for any reason? *

Yes

No

Do you have a pool? *

Yes

No

Are you interested in a male or a female? *

Male

Female

Either

Do you have an age preference? *

6-12 months

1 year or older

No preference

Phone *

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