• O'Blako Samoyeds Application Form

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Gender*
  • Which choice best describes your family dynamic?*
  • Does anyone in the household have any allergies to dogs?*
  • Are you currently a student?*
  • Which answer best describes your residence location?*
  • Do you own or rent your residence?*
  • Have you obtained permission to own a Samoyed from your landlord?*
  • Which answer best describes the type of home you live in? Please be aware that puppies will need to be let outside to pee frequently, so potty-training will be difficult if you live in an apartment or condo on the upper floors of a multistory building.*
  • Regarding your residence, please indicate your current containment situation. Please be aware that Samoyeds, due to their high energy level and high prey drive, will happily run loose for great distances to chase after things that interest them if not properly contained outside, and this can result in the dog getting lost or hit by cars. Proper containment is absolutely necessary if you plan to ever let your dog outside unsupervised for any amount of time.*
  • Do you have a swimming pool?*
  • On average, how many hours per day will your Samoyed be required to be left home alone?*
  • I have access to and am willing to use a doggy daycare (puppy) or dog walker (puppy and/or adult) if I must be away from home for more than 4 hours per day:*
  • I want a dog that:*
  • Me/my family has time to adequately exercise a dog:*
  • I am familiar with and am willing to use a dog kennel (crate), wire or moulded plastic, to aid in housebreaking and training my dog - as well as to provide him with his own 'den' and safe/secure place when he cannot be directly supervised.*
  • Would you be willing to take your dog to obedience and or socialization classes, and to train him/her to be a good canine citizen?*
  • When I/we go away on vacation, etc., my/our dog would be looked after by:*
  • Have you considered if it's likely that a dog will still be a welcome part of your family 5 - 10 years from now?*
  • If for any reason you could not keep your Samoyed at any point during its lifetime, would you be willing to return him/her to us to find a new suitable home, and furthermore will you agree not to advertise your dog as available for sale or free on social media, online or paper classified ads, etc. - but rather to notify us and work with us to get the dog back to us?*
  • Do you currently own any pets?*
  • Have you previously owned any pets?*
  • Do you currently have or have access to a reliable veterinarian?*
  • Have you ever raised a litter of puppies or kittens or been involved in any kind of animal breeding? If yes or a family member has, please give details in next field.*
  • I have researched the Samoyed breed and feel it would be an excellent choice for me/my family:*
  • Are you considering any other dog breeds?*
  • Have you ever owned a Samoyed before?*
  • What time frame are you looking to obtain a Samoyed?*
  • I am looking for a:*
  • My preferred age range for a puppy is:*
  • My preferred age range for an adult dog is:*
  • Regarding gender, I am seeking:*
  • Do you have any objection to spaying/neutering your Samoyed?*
  • Do all members of the family want to get a Samoyed?*
  • In terms of grooming, I have time to groom my Samoyed:*
  • Picking up a dog/puppy from us (we live near Philadelphia, Pennsylvania):*
  • Should be Empty: