These questions are to assist you and Semper Fi Shilohs in obtaining
the breed and the puppy that is right for you. We have been watching
the puppies and monitoring their temperament and behavior. Now
we need to know about you and your household so we can match the
two. The information is not meant to be judgmental in any way,
rather it is meant to be informational. To that end, please be
candid with your replies. Each puppy has its own needs. For example,
one may function best in a quiet environment while another may
require a lot of stimulation to be happy.
Name:*
Email Address:*
Address:
City:
State:
Zip:
Country:
Home Phone:*
Work Phone:
Please answer the following questions
and if there is anything elese you want us to know, please add
that information, too.
1. Which sex do you prefer?
female
male
2. What temperament do you expect? What type of personality are
you looking for your dog?
3. Describe your current family in the home. Do you have children,
if yes, what ages? Are they in the home or do they visit (shared
custody)? If you do not have children now, do you plan to expand
your family? How soon?
4. Do you have a person living in the household that is
Elderly
Handicapped
has special needs
5. Does anyone in the household have allergies?
no
yes, what type?
6. How would you describe your family lifestyle?
7. What types of family recreation do you enjoy?
8. What breeds of dogs have you owned or do you currently own?
If currently in the household, are they spayed/neutered?
yes
no
Ages:
Current breeds in the household:
9. Have you ever raised a puppy?
yes
no - If so, from what age?
10. Of the dogs you have owned what happened to them?
given away
killed in accidents
died of old age, euthanasia
other (please expain)
because:
other reasons:
11. What other animals have you, or do you, own?
12. What have you done with your previous dogs/animals?
Obediece
Agility
Search & Rescue
Therapy/Assistance
Schutzhund
Herding
Other
13. Have you ever had to put a dog to sleep?
yes
no
14. Which family member will have the major responsibility for
the dog?
15. Do you
own
rent
If you rent, does your landlord permit dogs?
yes
no
Would you permit us to contact your landlord?
yes
no
Landlord's name and phone number:
16. Do you have a fenced yard?
yes
(in feet) and type
no
If no, are you able to leash walk your dog at least 4 times daily
for necessary functions and exercise?
yes
no
If no, why not?
17. Where & how will the puppy be housed?
18. My dog will spend most of his/her time:
in the house
in a fenced yrd
in a kennel run
on a leash/chain
loose
other (please explain)
, if other, please explain
19. How will you be housebreaking your new puppy?
20. What classes do you plan on using to train your puppy?
21. Are you willing to keep the dog up to date on all of its vaccines,
screen for heartworm, use heartworm preventative and use flea preventative?
yes
no
22. Are you willing to have your dog seen by a vet at least once
a year?
yes
no
23. Do you already have a veterinarian? If so, who?
Name:
Address, City, State, ZIP:
Phone Number:
24. When a puppy is purchased as a family companion (non-show
dog), it is agreed it will be spayed/neutered. Can you agree and
follow through with that procedure?
yes
no
25. If this puppy is purchased for show and breeding, do you agree
to complete all the required tests and breed only if the tests
indicate the dog is an appropriate breeding animal?
yes
no
26. Do you agree to return your Shiloh to us at Semper Fi Shilohs
if you are unable to keep it?
yes
no
Any further questions and/or comments you may have can be included
with this application. Please make your comments below:
Feel free to contact us for more information. Thank
you for your interest in Semper Fi Shilohs.
*denote required field.