PERSONAL INFORMATION:

SHURBEEZ SHIH TZU APPLICATION
The following questions are being asked of you so that we can gain on idea of the best fit between potential owners and one of our precious puppies/dogs.

We hold firmly to the belief that since we are responsible for bringing these precious souls into the world that we are equally responsible for finding them the best home possible. This is only the first step to evaluating a possible home placement for our puppies/dogs.

Please be COMPLETELY honest in your responses. If you omit information it will inhibit our ability to match you with the best puppy for your needs. Any misinformation, untruths, or deception will result in elimination from our potential owner(s) list and you will NOT be reconsidered.

We understand that not everyone has experience with this breed and that this may even be your first dog or pet, so please, just be forthcoming and we will do our best to find you a match.
Disclaimer: As an applicant of Shurbeez Shih Tzu, I will voluntarily provide the information requested below. 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 puppy 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.*

I understand and agree.
Today's Date*

MonthDayYear
Date
PERSONAL INFORMATION:

As we try to pair the right puppy/dog with the right placement this information will help us be successful.
Full Name*
Current Full Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Format: (000) 000-0000.
Do you text on this number?*
Email*
example@example.com
How did you hear about us?*
Name of a person we can thank for referring you to us? (please include their email address, thanks) *if applicable
Type of dwelling you live in.*
How long have you lived here?*
Who lives with you? Choose all that apply.*

I live alonePartnerSpouseChildrenElderly parents, or other elderly adultsI lam a minor who lives with my parentsI am an adult who lives with my parents/familyRoommatesOther
If you have children in the home tell me how many and their ages.*
Is everyone who lives with you in agreement about getting a new dog/puppy?*

I live alone.Yes, everyone agreesNo, we are divided about this.I haven't even discussed this with anyone, just searching/looking/curious for now.
If you rent, do you have the permission from the owner/management company? **We will require a signed permission form from your property owner or management company.*

I don't rent.I haven't asked yet.NoYesType option 5
If you rent, are there restrictions on pets?*

I don't rent.No restritions.I don't know yet.Restrictions for # of pets.Restrictions for size of pets.Restrictions for breed type.
If you rent, tell me about the exercise/pet relief areas you'll use for your pet. How do you plan to safely take your pet outside to relieve themselves, and/or play? *If you DON’T rent skip this one.
If you own your home, tell me about your yard and outside areas for pets. Is it fully fenced? Clear of poisonous plants or other harmful situations? *If you DO rent, skip this one.
Tell me about yourself - your lifestyle, work schedules, family dynamics (if you live with others), or anything else to help me pair the right temperament puppy with you. What are your needs for this dog? Companion/Pet? Emotional Support Potential? Medical Alert Potential? Other*
Why have you chosen a Shih Tzu for your next companion?*
Will you be the primary caretaker of the puppy/dog? If not, who will be?*
Are you on a waiting list or speaking with other breeders about puppies/dogs? *if yes, which breeder(s)?*
What attracted you to Shurbeez Shih Tzu?*
Do you have family members with pet related allergies?*

YesNoI live alone.
Do you have a specific directive written into your will/last wishes about the care for your pets after you pass away? *This is not a required element, but definitely deserves consideration. What will really happen to your pets after you pass away if you have no plan?*
Have you checked your home and yard for harmful things? Chemicals, chords, cleaning supplies, essential oils, pesticides, fertilizers, etc. Are things 'puppy proof"?*

Yes, we are safe.No, not yet.I will get right on that.I might need help with ideas of what/how to check.
Are you willing to keep in touch? Call for help, support, or advice? Send update pictures?*

Yes, for sure!Yes, maybe sometimes.Nope, I don't want to stay in touch, just want a puppy/dog.Not sure.
In order to get to know you better, please have a FRIEND fill out our personal reference form for you. *Please put the name, email address, and phone number of the friend who will fill this out so we can email/text them our personal reference form. *
Are you willing/able to keep and care for the puppy/dog for its lifetime (10+ years)*

Yes, and if things come up I would come to you first for help.No, I get re-home of dogs when I move.No, if a dog becomes hard to handle I take them to the pound/shelter.No, when a dog gets old or has medical problems I find a new home for them.
Tell me about your philosophy surrounding surgical sterilization for dogs. Are you willing to spay/neuter/desex this puppy/dog by 6 months of age? Or if you're inquiring about an adult dog who is retiring would you prefer our vet spayed the dog before going to your home or would you prefer to have your vet do the surgical sterilization? *
Are there any other references, information about you, your work, life, or other details that you would like us to consider in reference to your application?*
PET HISTORY:

Tell me about your experiences with past pets, if any.
Do you currently have pets? Shih Tzu? Other breeds? Tell me about any past or current pest, including if they were/are surgically sterilized?*
Do you currently use a veterinarian, or had one in the past? Can I contact them to see what kind of pet owner you are? *if yes, please call your vet and let them know that I, Sheri Stevens of Shurbeez Shih Tzu, can chat with them about you and your pets. *Please list the name, phone number, and practice name of your current or past vet that we can chat with.*
Have you ever given a pet away? If yes, please tell me about the experience.*
Have you ever given a pet to animal control, animal shelter, or rescue? If yes, please share the circumstances involved.*
Have you, or anyone in your household ever been CHARGED with or CONVICTED of animal neglect, cruelty, fighting, or other animal related offenses?*

YesNo
Does ANYONE in your home have ANY past history of ANY type of animal cruelty, abuse, neglect, fighting, or other animal related offenses?*

YesNo
Have you ever acted as a pet broker? (bought an animal and flipped it for a higher price)*

YesNo
Do you work for an animal shelter, rescue or foster group?*

YesNo
Have you ever had a pet with parvo, kennel cough, canine herpes, or brucellosis? If yes, tell me about it.*
Have you ever bred your pet? Tell me about the experience.*
I'M LOOKING FOR:

Tell me about the ideal Shih Tzu you'd like to have.
Are you looking for:*

New family member, pet with spay/neuter contractGuardian dog, A Shurbeez breeding dog with a contractRetired, adultBreeding/Show option for my own program - for approved breeders only
Are you interested in:*

Being on the Waiting list for a future puppyFuture retiring -AdultCurrently retiring -AdultCurrently available puppyBeing a part of your Guardian Program- puppyBeing a part of your Guardian Program - adult
***ANSWER ONLY IF you're requesting breeding rights***, have we previously spoken about this? If this doesn’t apply to you - if you don’t want breeding rights- skip this question.

Yes, over MessengerYes, In personYes, in an emailNo, not yet - this is my first time requesting breeding rights from youNo, but I have another Shih Tzu from you with Full AKC Rights
Specific gender desired?*
Specific color desired?*
How flexible are you on gender and color preferences?*
Are you looking for a dog who is more laid back, more active, therapy dog candidate, ESA dog, medical alert prospect? Other?*
How are you planning to get your puppy/dog from us?*
My health guarantee is extended for those puppy buyers who will keep their puppies on NuVet Plus vitamins. Are you interested in more information about NuVet?*

Yes, please send me infoNo, thank youNo, we already use NuVet Plus
Your puppy will be AKC registered before leaving our home. We register every puppy with limited rights and email a registration certificate after receiving proof of spay/neuter at 6 months old. *Are you interested in AKC papers? *Please explain why or why not. **RETIRING ADULTS WILL NOT COME WITH PAPERS*
My puppies are raised with the Puppy Culture program and our own developed Rigorous Puppy Curriculum. Are you interested in learning more about this program so you can continue this type of training at home?*
Do you agree to spay/neuter the puppy by 6 months of age, (or sterilized adult) according to our contractual obligations?*

Yes, I want what's best for my puppy.Yes, I'm interested in a sterilized, retiring adult.No, I don't believe in spaying/neutering.No, I want to breed my dog.No, I'm seeking Full AKC rights for show/breeding prospect.No, I don't think that should concern the breeder.**Interested in a Guardian dog, I understand I could be required to sterilize the adult if the dog does not fulfil all contractual obligations.
DOG MANAGEMENT:

Tell me about how you live with and train your dogs.
Where will your puppy/dog sleep at night? Where we he/she be kept during the day? Do you believe in crate training? Will the puppy/dog be free to roam the house or do you have a puppy-safe room/area?*
Do you work during the day away from home? What are the plans to care for puppy/dog while you're not there? Doggie Day-care? Feed, water, or exercise while you're working? Etc...*
Will puppy/dog be kept outside or inside? Do you tether pets while outside?*
Tell me about a struggle you had with a previous dog and how you resolved the issue. **If this will be your first dog, tell me how you plan to overcome any future struggles that may arise (i.e. reactivity, separation anxiety, inappropriate urination, jumping on guests, being mouthy, etc.)*
Tell me about your experience with training: potty, tricks, manners, obedience, leash, etc. Will you need some help, advice, pointers? Would you ever seek assistance from a professional trainer?*
What would a typical day for a dog in your home look like? Thanks in advance for your thoroughness.*
What do you plan to feed your new puppy/dog?*
What do your plans look like, for your dog, when you travel? If he/she cannot go with you?*
What are your plans for regular grooming? Self? Groomer? Do you have one lined up already? What grooming do you do on a daily or weekly basis yourself?*
FYI:

Just so you know...
Because we want to provide puppies/dogs for serious buyers, our Puppy, Retiree, and Guardian waiting lists require a NON-refundable $200 fee to hold your spot. The fee applies toward the price of the puppy/dog you select. **If we have current puppies ready to be selected you will be required to pay 50% of the purchase price as a Holding Fee to hold the puppy for you, (100% of the guardian fee or retiree fee up front when you are chosen for the program AND a dog is ready to be chosen). Are you ready/willing to pay that fee now? Spots on the waiting list are guaranteed to be held until you choose a puppy/dog. You can choose to skip a litter if you're not interested or ready, but you'll never be skipped over without passing on the current litter - or unless you don’t respond to our emails and texts when we inquire.*

Yes, I'm ready to pay if I'm approved.Maybe, I might be ready.Trying to decide, can I tell you after our video interview?No, I'm not quite ready to be on the waiting list.
Do you understand that filling out this application does not guarantee that you will be approved for a puppy/dog. *We reserve the right to offer Waiting List positions to applicants we feel best meet the needs of our puppies or adult dogs.*

I understand.
In order to purchase a puppy from us all purchase price and fees (if any) must be paid in full 2 weeks before puppy goes home.*

I understand and agree.
Puppies must be picked up, delivered in person, or by flight nanny within a few days of the go-home day chosen by the breeder or will require at least $30/day boarding fee. (More for longer stays).*

I understand and agree.
All contracts must be signed in person or by electronic means before puppies are released to new homes.*

I understand and agree.
All Waiting List fees and Holding Fees are non-refundable. But, can be transferred to a different puppy in another litter within a year.*

I understand and agree.
Shurbeez Shih Tzu has the right to choose any puppy from any litter as their own breeder pick of the litter for their continued breeding program.*

I understand and agree.
Once a puppy has been chosen by a client, they have 48 hours to pay the Holding Fee and return the Holding Fee Contract.*

I understand and agree.
After reviewing the application provided you will be invited to a video interview with Shurbeez Shih Tzu LLC, owner, Sheri Stevens.*

I understand and agree.
We offer a $200 discount (only one per puppy/dog) for several new owners, do you qualify for one of these? Proof will be necessary.

Current MilitaryRetired MilitaryCurrent EducatorRetired EducatorCurrent First ResponderReturning Owner of a Shurbeez DogNo, I don’t qualify for one of the above
Please let me know the Friday or Saturday date and time that will work for you for the video interview, AND if you'd prefer the interview over Zoom, FaceTime, or Facebook Messenger Video Chat. * I try to accommodate schedules and will let you know if that 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.*
We know this is a long and detailed questionnaire and we thank you for taking the time to answer our questions thoroughly and truthfully. Although it is only one step in the process it lends us valuable information to match the right puppy with the right home.

Thank you,

Shurbeez Shih Tzu

I can be contacted any time at this email: Shurbeezshihtzu@gmail.com
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SHURBEEZ SHIH TZU APPLICATION

PERSONAL INFORMATION:

PET HISTORY:

I'M LOOKING FOR:

DOG MANAGEMENT:

FYI: