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If you're interested in joining us for the fun, please fill out the form below. Honest information is the key to a successful playgroup, so make sure you fill out the form as best as you can. Filling out this form does NOT guarantee you'll be allowed to attend a Roundup, but we'll review your input and get back to you as soon as possible!

Human:   Dog:   Name: Name: Phone Number: Breed: Email: Age: Less than 6mo 6mo-7mo 7mo- 8mo 8mo-9mo 9mo-1yr 2 3 4 5 6 6+   Gender: Female Male   How did this dog come to you? Weight: Color:   Your dog's favorite Toys?     Fixed: Age fixed: Yes No Younger than 2mo Between 2 and 6mo Between 6mo and 1yr Between 1 and 2yrs Older than 2yrs Was fixed when adopted   Dog likes and dislikes: Yes No Does your dog like other dogs smaller than 30lbs?   Yes No Does your dog like other dogs larger than 60lbs?   Yes No Does your dog like being touched?   Yes No Does your dog like children under 10?   Yes No Does your dog like puppies?   Yes No Does your dog like to roughhouse?     If you answered NO to any of the questions, please explain your answer in detail...   Is your dog possessive of these? Yes No Of toys? Yes No Of water? Yes No Of you? Yes No Of food?   If you answered YES to any of these, please explain the circumstances in which your dog guards one of these items...   Does your dog go to public dog parks? Yes No     Is your dog verbally controlled?   Has your dog taken any formal training classes? None Trained at home Started obedience classes but didn't finish Graduated obedience class once Graduated obedience class two or more levels Private Trainer Other   Is your dog predictable? What are some things that you have trouble seeing the outcome on? Does your dog have any awards or titles?   Tell us a little more about your dog!   How did you hear about us?   Yes No You agree to the Terms of Use for Bully Roundup and agree to abide by all rules.

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