Guardian Home Application

1

Disclaimer: As an applicant of Shurbeez Shih Tzu, I will voluntarily provide the information requested on this form. I will honestly and completely provide answers to all questions so that the breeder can understand my lifestyle, situation, needs, preferences, and match me with a Guardian puppy or dog appropriate to these specifics. I understand that the information provided by me will be kept strictly confidential and will not be shared with other parties.* This field is required.

I understand and agree.

2

This is only the first step to evaluate a possible home placement for one of our puppies/adults who will be part of our breeding program.* This field is required.

I understand and agree.

3

Today's Date* This field is required.

Date

4

Full Name* This field is required.

First Name

Last Name

5

Email Address* This field is required.

example@example.com

6

Phone Number* This field is required.Do you text with this number?

Please enter a valid phone number.

7

Home Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

8

How long have you lived here?* This field is required.

9

Do you plan to live near Spokane, WA for at least the next 5 years?* This field is required.

11

If renting, do you have the permission of the landlord or property management company to keep a pet in the apartment/house/condo? If yes, we require a signed Rental Permission Form before a puppy/dog will be available for you.* This field is required.

Yes

Not sure

No

Working on that

Not renting, just needed an answer for this question.

12

If renting, does your landlord have any pet restrictions on size, number, type, etc?* This field is required.

Yes

No

Not Sure

13

Do you have a safe, pet-friendly, fully-fenced yard? If no, how do you plan to contain and exercise puppy/dog?* This field is required.

15

Let us know the name and email address of a friend who referred you so we can thank them. If applicable.

16

Tell me about you, your job, your hobbies and your favorite activities.* This field is required.

17

People who live with you currently, Check all that apply.* This field is required.

I live alone.

Live with partner.

Live with roommate(s).

Live with my children.

Live with spouse.

Live with my parents.

Live with foster child(ren).

Live in a multi-family situation.

Other

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If you live with someone, what ages are they and will they be helping to care for the puppy/dog?* This field is required.

19

Is everyone in the home in agreement about hosting a guardian puppy/dog?* This field is required.

YESNO

20

Do you have any family members with dog related allergies?* This field is required.

YESNO

21

Because of past experiences and the fact that most vets are not breeder friendly, we require that ALL of our Guardian dog continue to be seen by our vet. Are you ok with this?* This field is required.

22

How flexible are you in your gender/color selections for a Guardian Dog?* This field is required.

23

How familiar are you with training dogs? Will you need assistance?* This field is required.

24

How familiar are you with the Shih Tzu breed? Have you owned one before? If yes tell me about your experience.* This field is required.

25

Do you currently own any other animals? If yes, what kind? How many? What gender(s)? Are they intact?* This field is required.

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Where will the puppy/dog be kept during the day? How many hours per day will the puppy/dog be left alone? Will someone be available to feed/water/exercise the puppy/dog while you're at work? Please explain.* This field is required.

27

Where will puppy/dog sleep at night? * This field is required.

28

You understand that Shih Tzu do NOT do well outside for extended periods of time in the cold or heat and should never be left outside unattended?* This field is required.

Yes

No

Can you tell me more about this?

29

Have you read each of our documents about the Guardian program and the requirements and incentives we offer?* This field is required.

Yes

Not yet

Some but not all

30

Are you willing to maintain regular & open contact, bring the dog to visit every 4-6 weeks, and send regular updates and pictures of the puppy/dog?* This field is required.

31

We live in Spokane Valley, WA - how close are you to us? Do you spend most of the year near Spokane, WA?* This field is required.

32

Please share the name, phone number, and email address of a personal reference. Someone who is not a family member, spouse, significant other, or life partner - who can tell us about you, your pets, etc.* This field is required.

33

Our Guardian Dogs are required to take NuVet Plus vitamins, probiotics, ad specific approved foods. Is this something you'll be willing to abide by?* This field is required.

YESNO

34

Do you understand the additional incentives/benefits for owning one of our Guardian Dogs? Do you have any questions?* This field is required.

35

My puppies are raised with Puppy Culture and our own rigorous puppy training methods. Are you interested in learning more about how you can extend this training program into your home and training processes?* This field is required.

36

Are you willing to keep this puppy/dog for its lifetime?* This field is required.

YESNO

37

Have you read our Guardian Home Contract?* This field is required.

YESNO

38

Are you willing to read, sign, and uphold all of the contractual obligations?* This field is required.

YESNO

39

Do you understand that there is a fee for participating in the Guardian Program? **This is not the 'price' of the dog - the dog is earned by following the guidelines and contractual obligations.* This field is required.

YESNO

40

What are your plans for grooming?* This field is required.

41

Our Guardian Dogs are genetically tested for all testable diseases, have annual CAER eye exams, have regular brucellosis tess (STD), are microchipped, AKC registered, temperament tested - all at our expense. **You are required to provide any regular maintenance, food, regular vet care, supplements, probiotics, supplies, etc. Is this something you're willing to provide for the puppy/dog?* This field is required.

Yes

No

42

As part of the Guardian Home Interview process we usually have people come to our home to meet with us, and meet you in your home to see your home and yard, and call your prior vet and personal references. Is this something you can agree to?* This field is required.

YESNO

43

Do you have any questions for us?* This field is required.

44

I like to have a video interview with all applicants on Fridays or Saturdays. **Please let me know what date and time you're available. Please let me know if you prefer FaceTime, Messenger Video, or Zoom. I try to accommodate schedules, but I will let you know if your preferred time doesn't work for me.

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I agree to the above terms, and attest that all information given above is correct, complete, truthful, and provided voluntarily.Sign Below

Clear