puppy application

CJ's Sho-Me Akitas Puppy Application
Barbara Lawson
15860 Persimmon Grove
Wright City,Mo. 63390

This form is designed to help us place the right puppy with the right owner. Your assistance in filling out this form will help us to make the best choices for you and for our pups. All the information included is confidential and is for use in placing puppies only. Thank you for taking the time to provide us with this information.

We are dedicated to our dogs and to our puppies, and we want new owners to be happy and proud of their new puppy, too. Please complete and submit this questionnaire, along with any questions you might have for us.

Applicant's Name and Address and phone numbers::
Email Address::
How were you referred to us?:
How many adults are in your household?:
How many children?:
Please list the ages of children.:
Is anyone at home during the day to care for the pup? If not, can someone exercise and feed the pup midday?:
Do you have a fenced yard? If so what is the height and type of fence? If not, are you willing to either fence or to put up a suitable kennel for your dog?:
Do you currently own any other pets? If so, please list them.:
Have you previously owned other dogs? Please list them.:
What is your primary reason for wanting an Akita?:
Will this puppy be a companion, show prospect or combination? Obedience/Agility prospect?:
Where will your dog live? House? Kennel run? Both? Other [describe]?:
Do all family members want a new puppy? yes or no:
Would you consider a long coat?
Who will be the primary trainer/care giver for this puppy?:
Are you willing to take this puppy to Puppy Kindergarten and Obedience classes? And to otherwise make the effort required to properly socialize a young puppy?
Are you willing to purchase and use a dog crate for training/housebreaking purposes?:yes or no and explain how many hours the puppy will have to be crated.
What type of personality do you like in dogs?:
What traits do you dislike in dogs?:
Do you prefer male, female, or have no preference?:
Do you have specific color or marking preferences?:
Are you committed to and prepared for taking care of this dog's needs for his/her entire life? yes or no:
If you are not buying this puppy specifically as a show dog, are you willing to neuter/spay him/her? yes or no:
If no, why not?:
Please describe the stress level in your home, in a few words.:
Please provide the name, address, and phone number of your veterinarian as a reference.:
Applicant's Signature:
Date:
Your additional questions or comments:

Thank you for taking the time to complete our Application.

Please return all forms to the address provided above or click on the submit button below.

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