Puppy Application

Absolute Dream White Swiss Shepherds Puppy Application
The purpose of this questionnaire is to help us understand your family and requirements for puppy placement. There are no wrong answers!
Name

First NameLast Name
E-mail
example@example.com
Optional 2nd Email
example@example.com
Phone Number

Area CodePhone Number
Cell Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province / Country

Postal / Zip Code
What is your timeline for when you want to receive a puppy (ASAP, within a few months, later this year, next year)?
How did you hear about Absolute Dream White Swiss Shepherds

America's Berger Blanc Suisse ClubMet an owner / referral (Please tell us who in comments)Family Pet ExpoFacebook or InstagramWeb Search (In the comment section, please share what search wording was used)Other (Please use comment section to provide how you heard about us)
Comments (How you heard about us)
If you are on Facebook and/or Instagram are you willing to friend me?

YesNo
Gender of dog desired

MaleFemaleFirst available / no preference
Which are you interested in (check all that apply)

Breeders Choice / Show (will be a higher priced puppy)Family PetWorking / Service DogCo-ownership agreement with breeder (for breeding there will be conditions)
What canine activities are you interested in for getting a dog (check all that apply)

Companionship / family petShowHerdingObedienceIPO / guard workSearch & RescueServiceTherapyProtectionDock divingBreeding
What is your experience with large dogs (such as Swiss Shepherds, White Shepherds, German Shepherds)?
Why did you choose this breed (White Swiss Shepherd aka Berger Blanc Suisse)?
What is your current living situation?

OwnRent (with written permission from landlord to have large dog. Landlord's name and contact information will be required if you are selected for a puppy)Rent (not sure about permissions)
Comments:
What type of home do you live in?

Single family houseApartment / Condo / Townhouse/Duplex connected to anotherFarm / RanchOther - please provide details in comment section
If "Other" please provide more specific details:
Does your homeowners/renters insurance cover/allow "Shepherds"?

YesI need to research this before final decisionNo - I accept full liability/responsibility without insurance coverage
Your dog will primarily live

InsideOutsideInside and Outside
Please describe your residence, outdoor environment, type of access your dog will have at home (fenced yard, covered patio, kennel, crate etc)
Do you have a fenced yard

YesNo
How tall is the fence and what size is your fenced yard area?
If yard is not fenced, do you plan to tie or chain your dog? Please explain, how will you keep your dog safe from running away?
Where will your dog sleep? Inside? Outdoors? If outdoors, do you have an insulated dog house, kennel with covered roof, or describe the sleeping environment.
How many hours per day will your puppy be left alone and why?
What will be his/her environment when he/she is not with you?
How many children do you have and what are their ages?
How are they with large breed dogs and other animals?
Please describe all pets currently at your residence (species, gender, age, neutered/spayed and how are they with other dogs)
If you ever relocate to a new residence, city, state, or country, what arrangements will be made for your Absolute Dream White Swiss Shepherd dog? Will you take hi/her with you or most likely re-home him/her prior to moving?
Do you agree to contact us if you are unable to properly care for and/or keep your Absolute Dream White Swiss Shepherd?

YesNo
Do you agree to notify and allow us to either take back or manage the re-homing of your Absolute Dream White Swiss Shepherd dog if you are no longer able to keep him/her?

YesNo
What is your activity level

Very active (biking, hiking, running, etc.)Moderately activeLowHandi-capable :)
Please tell us about your family's leisure activities that the dog will be a part of.
What energy level would you like your dog to have

High (very playful / working oriented)MediumLow (mellow)
Will your dog need to be shipped to you?

Yes (I am aware I will be responsible for all fees associates with the transport of the dog and that breeder will make all arrangements)No - I will be picking up the dog in person
I am aware the Absolute Dream White Swiss Shepherd must NOT be spayed/neutered before age 24 months, and will consult with breeder prior to the actual spay/neuter occurring. (The only exception to this is a medical emergency, prior consent, or having a signed Co-ownership Agreement with Absolute Dream White Swiss Shepherds for breeding a dog)

Yes
I am aware the White Swiss Shepherd aka Berger Blanc Suisse dog is a medium to long coated dog that sheds constantly and will require proper grooming.

Yes
List at least 3 references (name, telephone #s, email address). If you have a veternarian, please list him/her as one of your references
Reference 1
Reference 2
Reference 3
Please provide any additional information, comments, or questions that help us match a suitable dog for your family.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Absolute Dream White Swiss Shepherds Puppy Application