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Please describe the dog you would like to adopt.

What is your first name?
What is your last name?
What is your phone number?
How old are you?
What is your email address?
Answer these questions to describe the dog you want:
Male: Indicate with an X male of female.
Female:

Puppy: Indicate with an X puppy or adult.
Adult:
What breed or does it matter?

Any other comments you have?