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Simko Danes Puppy Application
Please answer all questions completely and honestly. Individual answers will not necessarily be indicative of automatic approval or disapproval, and will never exactly fit a certain level of criteria. Answers will vary per person however, completion is non negotiable. Applications with questions left unanswered will be denied. This questionnaire isn't to disqualify anyone specifically, but to give me an educated idea of where each puppy is going and lets me assist in choosing the right match.
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Email
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Your email
How did you hear about Simko Danes?
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Your answer
Name
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Your answer
Contact Number
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Your answer
Address
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Your answer
Number of people, and their names & ages, permanently residing at your address:
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Your answer
What is your source of income? What is your average annual income? (used solely for determining emergency care options)
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Your answer
Do you have any form of alternate emergency fund? Care credit, saving acct,etc. Please explain.
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Your answer
Is pet insurance something you currently provide or are willing to provide for your pets?
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Yes, you currently hold a pet insurance policy.
No, no current insurance and not willing to provide.
No current insurance but, willing to provide it.
If you answered "Yes" to pet insurance, what policy holder do you currently, or are you interested in working with? If you answered "No", please briefly explain why not.
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Your answer
Veterinarian's info: Name of Vet, Clinic Name, Clinic Address, & Phone Number. If you do not have a current Vet, answer N/A.
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Your answer
Please provide three additional character references of different relations along with their contact information. (Neighbor, co-worker, Boss, Family friend, pastor, etc)
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Your answer
Do you, or anyone in your household, have any kind of criminal record other than traffic violations? If so, describe.
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Your answer
Do you have a fenced yard? If so, what kind?
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Your answer
Do you have a pool, spa, or water feature on your property? If so, is it fenced in? If not fenced, what precautions will you take to make sure your puppy remains safe?
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Your answer
Have you ever owned a Great Dane previously? If so, do you still have them?
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Your answer
Who will be the primary caretaker of the puppy?
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Your answer
Are you aware of, (and prepared to handle), normal puppy behaviors such as chewing, tugging, jumping up, "elimination accidents", and the like?
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Your answer
How many hours per day will the puppy be alone?
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Your answer
Will you be crate training the puppy?
Yes
No
Clear selection
If you answered "No" above, where will the puppy be during the day? Where will it sleep?
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Your answer
Do you agree to provide the puppy with proper vet care, vaccines, flea/tick/heartworm prevention, and quality food for its entire life?
Yes
No
Clear selection
Will you be enrolling the puppy in any kind of training program whether it be a group class, solo class, or private in-home sessions?
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No training classes, I prefer to train my dogs on my own.
Group classes offered through a training facility local to me.
One on One classes with a local professional dog trainer.
In home training with an experienced local trainer.
Have you, or anyone in your household, ever had a dog designated as a potentially dangerous or dangerous dog? If so, please provide the date of this designation, the details of what happened, and email any police or animal control reports to
simkodanes@gmail.com
.
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Your answer
Have you, or anyone in your household, ever been accused of animal cruelty or animal hoarding? If so, please describe.
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Your answer
Do you have any other pets? If so, what breed, age, how long?
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Your answer
Do you have a preference of male or female?
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Male
Female
Do you have a preference of color?
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Please select all that apply. We may not have some of these colors as color is not something we specifically breed for.
Black
Blue
Fawn
Harlequin
Merle
Brindle
All of the above
Other Color Variations of Fawn, Harlequin, Merle and Brindle
No preference at all.
Color is secondary to temperament. I trust the Breeder's decisions on puppy placement.
Required
Do you have intentions to breed the puppy?
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Yes
No
Maybe
Do you understand that the puppy may not be altered until 24 months of age and that it is your responsibility to ensure males stay separated from females and vice versa?
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Yes
No
Do you understand that you may be held legally and financially liable if you allow a pup purchased on LIMITED AKC REG. to be bred and produce puppies. Male or female, you are responsible for practicing ethical and responsible pet ownership by preventing unwarranted litters.
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YES
NO
Simko Danes requires a $250 Spay&Neuter Deposit on top of the sale price of each puppy. Upon completion of alteration of your pup within the given time frame (see contract for details), the fee will be returned to you. If you alter your pup early without written permission, or don't alter them at all, the fee will be forfeited. Do you agree to these terms?
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Yes
No
I have questions about this deposit.
Are you aware of the costs of caring for a large breed dog?
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Yes
No
Do you understand that once you place a deposit it is non-refundable unless something happens to the puppy that makes it unsaleable? Deposits are transferable to another litter. ***If you are not matched with a puppy within 3 years, you may request a refund of your deposit in full.
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Yes
No
Simko Dane Puppies come pre microchipped with ‘AKC Reunite’, administered by our vet. The breeder is locked in as the first contact. The buyer is to give updated information to the breeder as necessary in order to keep the dog's records up to date. Do you agree to these terms?
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Yes
No
Do you understand that if you put a deposit on a puppy and it is not paid for in full by the time it is 9 weeks old, that you will forfeit the puppy and your deposit, and no refund will be given?
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Yes
No
Do you understand that all puppies are sold on a return contract (please see contract posted on our website for further details) and that you are not to sell, give away or place in another home/shelter/humane society for any reason without my prior written consent?
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Yes
No
Do you understand that if a puppy is returned to the Breeder, the Breeder is under no obligation to give any form of refund.
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Yes
No
Do you agree to keep in contact with Breeder, which includes, but is not limited to, responding to any inquiries in a timely fashion, informing Breeder of the status of the pup and to provide picture(s) of your Simko Dane at least once every 6 months? (Activity on the “Simko Danes Puppy Owners Page” on Facebook automatically fulfills this requirement.)
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Yes, I know my dog's Breeder cares about each and every puppy they produce!
No, I don't want to keep in touch with my dog's Breeder.
I don't do social media and would prefer to privately keep in touch.
As a family, are you more quiet and reserved, or active and on the go? (It's best to match the temperament of the pup to the climate of the household.) Please give a detailed description.
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Your answer
Please use this area to include anything additional you would like me to know about you or your family, your lifestyle, or why you think you would be a good fit for one of our pups, ect.
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Your answer
Send me a copy of my responses.
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