Puppy Application Form

Puppy Application

The information contained in this application is used only for the purpose of placing a puppy and will not be used elsewhere. A $500 deposit to hold your puppy will be collected after your application is approved, and will be deducted off the total price of the puppy.
Deposit type

Apple PayZelleOther
Full Name*

First NameLast Name
Profession*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number -

Area CodePhone Number
Lifestyle:
With these questions, we will be able to match the puppy better with its new home.
Do you live in a:*
Household Setting*

RuralSuburbanUrban
Do you have children at home?*

YesNo
Does Anyone in your household have allergies to animals?*

YesNo
If yes, please indicate type, severity and if medication is required to manage.
Have you owned a dog before?*

YesNo
Do you have any pets now?*

YesNo
What Gender are you looking for?*

MaleFemaleNo Preference
Do you have a veterinarian you plan to use?*

YesNo
Do you have a fenced yard?*

YesNoPartial
For the safety of your puppy, when not in an enclosed fence area, please keep your puppy on a leash at all times.
Will the puppy live indoors?*

YesNo
Do you work outside of the home?*

YesNo
How many hours in a day would the puppy be left alone?
On average a puppy shouldn’t be alone more than 5 to 6 hrs. a day
Do you understand the time and energy it takes to care for a puppy:*

YesNo
Will you be attending obedience classes with your puppy?*

YesNo
Will the puppy be picked up?*

YesNo
Would you like to have the puppy delivered?*

YesNo
Puppies can be shipped anywhere in the USA.
Please bring a crate with you if you are picking up your puppy.
Do you agree to contact Foxy Shibas in the event you cannot keep your puppy?*

YesNo
Please indicate anything else that may help us with selecting the right puppy for you.
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval
Date*

MonthDayYear
Your name*
E-mail*
The $ 500.00 deposit will be returned if your puppy requirements can’t be filled.

Thank you for choosing your puppy from Foxy Shibas!

foxyshibaskennel@gmail.com
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