Guardian Home Application

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 retiring 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.

This is only the first step to evaluate a possible home placement for one of our retiring adults who is looking for a forever family.* This field is required.

I understand and agree.

Today's Date* This field is required.

Date

Full Name* This field is required.

First Name

Last Name

Email Address* This field is required.

example@example.com

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

Please enter a valid phone number.

Home Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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

Type of dwelling you live in?* This field is required.

My own home.

Rental Home.

Apartment.

Condo.

Mobile Home.

Other.

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 retired dog will be available for you.* This field is required.

Yes

Not sure

Working on that

Not renting, just needed an answer for this question.

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

Yes

Not Sure

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

How did you hear about us?* This field is required.

Owner of a Shurbeez Shih Tzu

Shurbeez Website

A friend

Facebook

Guardian Family

Instagram

Good Dog

Internet Search

I'm on your waiting list

Other

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

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

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

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

Is everyone in the home in agreement about getting a retired dog from us?* This field is required.

YESNO

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

YESNO

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.

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

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

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

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.

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

YESNO

We don't always have retiring dogs available. Is there a specific dog you're interested in?* This field is required.

We offer two price options. If you want to have YOUR vet spay/neuter the dog the retiring price will be $1000. If you want OUR reproduction specialist vet to do the spay/neuter the retiring price will be $1800. Let me know what option you're interested in.* This field is required.

I like to have a video interview with all applicants. **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.

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

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Guardian Home Application