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The information you give upon this form will be used for the following

The activation of your free insurance, the insurance carries no future obligation or need to share payment details.

For the registration of your microchip, it is law for us to transfer the microchip into the owners name.

For The registration of your Puppy packs


For the selection process during Puppy allocation, we will take into consideration all the information that you have provided here and using it alongside temperament testing results, conformation assessment and our experience of the Litter we will pair you with the most suitable puppy for your household.

Are you having a dog or a bitch?
In addition to being your family, Pet, do you intend to engage in any of the following activities? If yes please select.
Do you intend to Breed from your dog?
Yes and I am aware of the higher cost and health testing requirements for breeding dogs.
No and I am aware that my dog will carry non removable endorsements on their registration and will be subject to a non breeding agreement.
Who would you like your free insurance with -
Petplan 4 weeks
Agria 5 weeks
I do not want free insurance
Other
New owners update

Thanks for submitting!

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