Welcome to the Pet Census. Please fill out the following form to indicate your favorite pets and to select your favorite dog breeds.
Name:
Email Address:
Age:1-12 13-18 19-64 Over 65
Favorite Pets (Select all that apply): Dog Cat Fish Bird Hamster
Other pets you love: Type your other favorite pets here!
Favorite Dog Breeds (Select all the apply. Ctrl + click for multiple selections) Golden Retriever Boxer Poodle Husky Corgi
Check out the Learning Web Design for sample colors and colornames.