Please Copy and Paste this Application to an email an send it back to me.

Puppy Application ~The Shire ShihTzu

By filling out this application you agree to the terms of my

Prices and Info page and have read my entire website including the Health FAQ's link

Thank you for considering one of our sweet babies!
 
Name:__________________________________________________________________
 
Address:_______________________________________________________________
 
Home Phone:________________ Work Phone:____________________________________
 
Best Time to Call:_________ E-Mail _______________________________
 
 
HOUSING / LANDLORD INFORMATION
Do you own or rent your home? __Own____________________
If you rent, do you have the landlord's permission to keep a dog? _____________
Landlords Permission must be obtained!
Do you live in a: _House  ___Apartment ___Townhouse  ___Other:_________________________________
 
How long have you lived at this address?
 
FENCE / YARD / CRATE INFORMATION
Do you have a completely fenced yard suitable for a dog? __ Yes  ___no
Do you have a kennel run? ___Yes  ___no
Describe fence or kennel run - type, height __________________________________________
________________________________________________________________________________________
If no fence or kennel run, how will you handle the Shih Tzu's exercise and toilet needs?
________________________________________________________________________________________
 
Do you have a suitable dog crate? __Yes  ___no
If no, are you willing to purchase one?  ___Yes  ___no
Please bring a crate when picking up your puppy.
Are you willing to feed the human grade pet food that the breeder recommends?_________________
 
HOUSEHOLD INFORMATION
How many adults in the house hold? ______ Children? ___________
Age and gender of children: _________________________________________________________________
Are any members of you household allergic to animals?  ___yes  __no
Who in the household will have the main responsibility of caring for this pet?
________________________________________________________________________________________
  
How many hours a will the dog be alone? __
 
Please describe your lifestyle:  __active  ____ passive ____ in-between

 
Do you own cats? ___yes  ___no If yes, how many? ________
Any other animals? __yes  ___no if yes, please describe:_______________________________________
________________________________________________________________________________________
 
How many dogs have you owned in the past five years? ____________
If you do not still own the dog(s), please describe what happened to it (them).  Please be specific.
_________________________________________________________________________________________
 
Have you ever returned a pet to the breeder?  ___yes  __no  
If so, what were the circumstances? ___________________________________________________________
________________________________________________________________________________________
Have you ever given a pet away?  ___yes  __no If so what were the circumstances?
_________________________________________________________________________________________
 
Have you ever taken a pet to the pound or shelter?  ___yes  __no  If so, what were the circumstances?
__________________________________________________________________________________________
Please understand that you may NOT resale or give the said puppy away, if you are unable to care for your puppy/dog it must be returned to me the breeder.

There will be no refund.

Do any household members smoke?
If you answered yes to above do you smoke in the house?__________
 
Have you owned a Shih Tzu or CID before?  __yes  ___no
Why did you choose this breed? __.
________________________________________________________________________________________
 
 
 
What activities do you plan on doing with this dog?
_pet  __obedience ____Agility  ___ 4H
___ other: ________________________________________________________________________________
 
Will you be attending any training classes? __ obedience
 
Do you plan on keeping this dog primarily?  __indoors  ___outdoors
Where will dog sleep?______
Do you have a regular vet?  __ yes  ____no
Name: ___________________________________Phone:____________
Address:_____________________________________
 
 
PREFERENCES
 
At what age would you like to get the puppy? Weeks________
 
SEX
I would like a __female  __male  __no preference
 
What size of puppy are you looking for?_________________________
 
COLOR
I would prefer a: __ tri (black, tan & white) ___tan & white   __ black & white ___no preference
 
Have you considered an older dog instead of a puppy? ___yes ___no __unsure
Do you plan on breeding this dog?  ___yes  ___no  _ not sure Please keep in mind we require a spay/neuter contract

unless other arrangements have been made BEFORE you deposit.
If so why?______________________________________________

Thank you for investing this time in your search for a new puppy.
 

Contact Information
Telephone: 509-607-0302

Postal address: Cle elum, WA

Electronic mail
General Information: bobbi@theshireshihtzu.com
Puppy Lifetime Support: bobbi@theshireshihtzu.com