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PAINTED HILLS PUPPY APPLICATION
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I AM LOOKING FOR A
Male
Female
No Preference
WHO IS A...
Pet Only
Show Prospect
Sports Prospect
Working Prospect
Breeding Prospect
Emotional Support Dog
Service Dog
NAMES, AGES AND OCCUPATIONS FOR EVERYONE IN THE HOUSEHOLD
Your answer
ANY CURRENT PETS IN THE HOUSEHOLD- IF YES PLEASE LIST SPECIES, BREED, AGE, SEX AND IF THEY HAVE BEEN SPAYED/NEUTERED.
Your answer
FULL ADDRESS
Your answer
BEST PHONE NUMBER TO REACH YOU/YOUR FAMILY
Your answer
BEST EMAIL ADDRESS TO REACH YOU/YOUR FAMILY
Your answer
WHO WILL MAINLY BE RESPONSIBLE FOR DAILY CARE?
Your answer
WHO WILL MAINLY BE RESPONSIBLE FOR TRAINING?
Your answer
WHO WILL MAINLY BE RESPONSIBLE MEETING THE PUPPY'S EXERCISE NEEDS
Your answer
DOES ANYONE IN THE HOUSEHOLD HAVE DOG ALLERGIES? IF YES, WHO?
Your answer
DESCRIBE A TYPICAL DAY IN YOUR HOUSEHOLD
Your answer
ACTIVITIES YOU/YOUR FAMILY ENJOYS:
Your answer
ACTIVITIES YOU WANT TO DO WITH YOUR DOG:
Your answer
ANY SPORTS YOU WANT TO DO WITH YOUR DOG?
CONFORMATION
RALLY
OBEDIENCE ***COMPETITIVLY, NOT JUST BASIC OBEDIENCE CLASSES***
AGILITY
HERDING
BARN HUNT
COURSING ABILITY TESTS
SCENT WORK
TRACKING
THERAPY
WEIGHT PULL
MUSHING/JORING
DOCK DIVING
CANICROSS
Other:
DESCRIBE YOUR IDEAL DOG'S TEMPERAMENT AND ENERGY LEVEL
Your answer
IF THERE ARE CHILDREN IN THE HOUSEHOLD: HOW ARE THEY AROUND LARGE DOGS? HAVE THEY EVER BEEN AROUND A PUPPY?
Your answer
IF THERE ARE PETS: HOW ARE THEY AROUND LARGE DOGS? HAVE THEY EVER BEEN AROUND A PUPPY?
Your answer
HAS EVERYONE IN THE HOUSEHOLD DISCUSSED GETTING A DOG AND ARE THEY ON BOARD? DOES ANYONE HAVE ANY CONCERNS?
Your answer
WHERE WILL THE DOG SPEND MOST OF ITS TIME?
Your answer
WHERE WILL THEY SLEEP?
Your answer
HOW LONG WILL THEY BE LEFT ALONE ON A DAILY BASIS? WHERE WILL THEY BE KEPT WHEN ALONE?
Your answer
WHAT IS YOUR PLAN FOR WHEN YOU ARE UNABLE TO GET HOME AND LET THEM OUT AS NEEDED? (SOMETIMES AS OFTEN AS EVERY HOUR EARLY IN POTTY TRAINING)
Your answer
WHAT IS YOUR PLAN FOR THEM WHEN YOU GO OUT OF TOWN?
Your answer
TRAINING PLAN
Professional
Owner
Classes
Other:
GROOMING PLAN
Professional
Myself
Other:
TYPE OF HOME
Single Family
Town Home
Apartment
Condo
Tiny House
Co-Op
Other:
DO YOU OWN OR RENT?
Rent
Own
Shared rental/Roomate
Other:
IF RENTING/ROOMING, LIST LANDLORDS NAME AND CONTACT INFORMATION
Your answer
DESCRIBE YOUR NEIGHBORHOOD (URBAN, SUBURBAN, RURAL, LOUD, QUIET, ECT)
Your answer
DO YOU HAVE A YARD?
Yes
No
Maybe
Other:
IF YES, DESCRIBE THE YARD, HOW YOU WOULD USE IT, AND YOUR METHOD OF CONTAINING THE DOG WITHIN IT. IF NO, EXPLAIN HOW YOU PLAN TO RELIEVE YOUR DOG AND MAKE UP FOR THE LACK OF A YARD.
Your answer
DO YOU HAVE A POOL?
Yes
No
Maybe
Other:
IF YES, IS THE POOL FENCED/INACCESSABLE?
Yes
No
Maybe
Other:
CURRENT AND PREVIOUS PETS (NAME, SPECIES/BREED, AGE AND A BIT ABOUT THEM. FOR THOSE WHO ARE NO LONGER WITH YOU PLEASE EXPLAIN WHY)
Your answer
ANY ISSUES WITH PREVIOUS DOGS? (HEALTH, BEHAVIOR OR TRAINING WISE)
Your answer
CURRENT/PAST VET OR VET YOU PLAN TO USE
Your answer
DO YOU HAVE EXPERIENCE WITH INTACT DOGS? IF SO PLEASE ELABORATE. IF NO, ARE YOU COMFORTABLE KEEPING YOUR DOG INTACT UNTIL AT LEAST 18 MONTHS OLD?
Your answer
HAVE YOU EVER RAISED A PUPPY? IF SO HOW LONG AGO?
Your answer
WHAT IS YOUR MAIN REASON FOR WANTING A NEW DOG? WHY DO YOU WANT A SAMOYED OVER ANOTHER BREED OF DOG?
Your answer
ARE YOU AWARE OF THE BEHAVIORAL PROBLEMS MANY SAMOYEDS ARE PRONE TO? (PLEASE LIST)
Your answer
DOES THE IDEA OF HAIR EVERYWHERE BOTHER YOU?
Yes
No
Maybe
Other:
ARE YOU WILLING TO CARE FOR THIS PUPPY FOR THE FULL DURATION OF ITS LIFE?
Yes
No
Maybe
Other:
ARE YOU WILLING TO SIGN AND ABIDE BY A CONTRACT
Yes
No
Maybe
Other:
ARE YOU WILLING TO FOLLOW BREEDER RECOMMENDATIONS AND ADVICE?
Yes
No
Maybe
Other:
WILL YOU CONTACT YOUR VET/BREEDER FIRST WITH ANY QUESTIONS AND CONCERNS YOU MAY HAVE BEFORE TURNING TO FACEBOOK/OTHER SOCIAL MEDIA?
Yes
No
Maybe
Other:
ARE YOU WILLING TO KEEP IN CONTACT AND SEND UPDATES AND PICTURES REGULARLY OR DO YOU PREFER A MORE DISTANT RELATIONSHIP WITH A BREEDER?
I want to keep in close contact
I am open to keeping in contact when needed
I prefer a more hands off relationship
Other:
IF YOU ARE UNABLE TO CARE FOR YOUR DOG AT ANY POINT, ARE YOU WILLING TO RETURN THEM TO THE BREEDER
Yes
No
Maybe
Other:
ARE YOU WILLING TO BRING YOUR DOG IN TO GET OFA SCREENINGS DONE FOR THEIR HIPS, HEART AND EYES BEFORE THEY TURN 3?
Yes
No
Maybe
Other:
ARE YOU INTERESTED IN A CO-OWNERSHIP OR BECOMING A GUARDIAN HOME?
Yes
No
Maybe
Other:
WHAT ARE YOUR EXPECTATIONS FOR ME AS A BREEDER?
Your answer
IS THERE ANYTHING ELSE YOU WOULD LIKE ME TO TAKE A NOTE OF OR TAKE INTO CONSIDERATION?
Your answer
PLEASE PROVIDE REFERENCES I CAN CONTACT. PREFERABLY PROFESSIONAL CONTACTS SUCH AS TRAINERS, VETERINARIANS, OR PREVIOUS BREEDERS/RESCUE ORGANIZATIONS BUT MAY INCLUDE OTHER DOG OWNERS, FRIENDS, FAMILY AND NEIGHBORS.
Your answer
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