Puppy Application
MyDream Shih Tzu Puppy Application
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number Cel
Please enter a valid phone number.
Date
-
Month
-
Day
Year
Date
Have you owned a Shih tzu before
Please Select
Yes
No
Please specific choice of gender
Please Select
no preference
male
female
Please specific Coat color preference
Please Select
No preference
Gold and White
Black and White
Solid Black
Black Mask Gold
Do you have a Vet
yes
No
need a recommendation
Do you have a groomer- Shih tzu typically need grooming every 4-6 weeks
yes
no
need recommendation
I will groom my puppy
Do you own or rent your home?
Please Select
Own
Rent
Type of home
Please Select
Condo
Single family Residence
Apartment
Have you Trained a puppy before? Please do not include your parents raising a puppy when you were growing up.
Please Select
yes
no
Please tell me the living situation for the puppy. Is someone home during the day to train a new puppy? If not what would be your plan.
Is there anyone in the household who is:
Elderly
Disabled
Has Special Needs
Allergic to Dogs
Under the age of 5 years
Other
Number of children in home and ages.
Where will your puppy sleep?
Other Please explain.
How will you arrange to pick up your puppy in Stony Plain, Alberta?
What are your plans for training? Obedience, Agility, or Other?
Please provide 3 references one being your veterinarian.
Reference #1
Reference #2
Reference #3
Submit
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