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Beaconway Jack Russell Terriers







* Your Name
* E-Mail Address
* Telephone Number
* Address? 
* Are you married, permanent relationship or single?
Married   Single Long Term Relationship
* Do you have children
Yes   No
* How Many?
* What are their ages  (Check all that apply)  
Baby   1 - 3   3 - 5   5 - 8   8 - 12   Teenagers
 
* Do you have any other pets? How many and what type?
* I currently reside in?
A House A Unit/Flat A Home with acreage

* I currently am...?
The home owner. Renting (Have permission for a dog.) Renting (Will need permission)
* Will you be spey/neutering your Jack Russell?
Yes. No
* Do you have a fenced yard? (Please explain as best you can!) 
* Where will your dog live?
House Backyard Dog run
* When your dog is home alone how will it be confined?
A Crate  Loose in House  Loose in Yard  A dog run 
* How long will this dog be left alone regularly?
(Please explain as best you can!) 
* Have you ever had a Jack Russell before?
Own one now
Once owned a Jack Russell.
Babysat a Jack Russell & fell in love with the breed
Friend has a Jack Russell
Family member(s) has a Jack Russell
Never owned one but have always liked them
* What are you looking for?
Male Female Either Mixed Pair
Matched Pair (Not recommended!)
* Any particular coat type?
Smooth Broken Rough Coat is not important
* I am looking for ...
puppy - 8 weeks to 3 months
puppy - 3 months to 6 months
juvenile - older than 6 months
adult - ex-show dog
* When do you want to get a puppy?
Looking now  In 1-2 months  In 3-6 months 
Just inquiring
* What type of activities would you like to do with your Jack Russell?   (check all that apply)
Family Pet, Companion,
Conformation Showing,
Obedience and/or Performance Events,
Hunting,
Therapy Dog,
Breeding
* Would you consider taking a rescue dog?
yes! no, thank you.
Anything else you would like me to know about you? 
* Would you like me to forward your request to other Breeders?
Yes No
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