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BEAR CANYON

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RETRIEVERS

First name*

Last name*

Phone*

Address*

Email*

Gender preference*

Male

Female

Undecided

Tell us a little bit about yourself and where you live.*

What breeds of dogs do you currently have, or have had in the past? *

Do you plan on picking up your puppy or have a flight nanny deliver the puppy? *

How soon are you looking to add a puppy to your family?

If you reside in the Southern Utah area are you interested in becoming a guardian home for our breeding program?

Yes

No

Maybe, can I please get more info

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