- Atlantic Sable Shilohs Puppy Application
-
- Please answer the following questions and return
to:
- Atlantic Sable Shilohs c/o Jayne Polem, 1469
Church Street, Port Williams, Nova Scotia, Canada, B0P 1T0
- Or print and Fax: 902-542-0578
- Questions? Call: 902-542-7284
-
- Although
these questions may seem personal, they are important in assisting us to
meet your expectations.
- Circle
all that apply and please print clearly. Thank you!
-
- Name:
___________________________________________________________
-
- Address:__________________________________________________________
-
- City:
_____________________________________________________________
-
- State
/ Province: ____________________________________________________
-
- Zip
/ Postal Code: __________________
-
- Home
Phone: ______________________ Work: ______________________ Cell:
____________________
-
- Email:
________________________________________________________
-
- 1)
I would like
a) Male
b) Female
-
- 2)
I would like
a) Plush coat
b) Smooth coat
c) Not sure
-
- 3)
I would like
a) Sable
b) Dual c) Not sure
-
- 4)
The temperament I expect from my dog would be:
-
The mailman knocks at the door with a package delivery, I want my dog
to:
- a)
Bark, then make friends
- b)
Bark and not make friends
- c)
Bark, then chew him up
- d)
Other: __________________________________________
-
- My
dog and I are taking a walk in the park and I see some old friends, I want
my dog to:
- a)
Wag his/her tail
- b)
Ignore them
- c)
Attack them
- d)
Other: ___________________________________________
-
- 5)
My dog will spend most of his/her time:
- a)
In the house
- b)
In the fenced yard
- c)
In a kennel run
- d)
On a chain
- e)
Running loose
- f)
Other: ____________________________________________
-
- 6)
I am interested in training my dog in:
- a)
Obedience
- b)
Agility
- c)
Search & Rescue / herding
- d)
Therapy / seeing eye
- e)
Schutzhund
- f)
Other:
___________________________________________
-
- 7)
I am interested in show and/or breeding:
Yes
No
-
- 8)
I am interested in a pet and plan to spay / neuter:
Yes
No
-
- 9)
I have owned ________ dogs in the past ______ years.
-
- 10)
My dogs were:
- a)
Given away
- b)
Killed in accidents
- c)
Euthanized because
_______________________________________________________
- d)
Died of old age
- e)
Other: _____________________________________________
-
- 11)
My household consists of _____________ dogs (age, breed, sex)
-
- 12)
My household consists of:Adults
- a)
Adults (#) ______________
- b)
Cats (#) ________________
- c)
Children (# & Ages) ________________________________________
- d)
Birds (type) _______________________________________________
- e)
Other:
______________________________________________________________________________________________________________________________________________________
-
- 13)
Do you expect to have children?
Yes
No
-
- 14)
The adults in my household are: 0-20 20-30
30-40
40-50
50-60
65 & up
-
- 15)
Comments:
-
-
- Note:
If
you would like to be added to our list for a puppy, or a specific upcoming
litter, please enclose a $600.00 deposit.
-
Should we be unable to fulfill
your request, your deposit will be returned in full.
-
- Thank
you for your cooperation. Should you have any questions, please contact me
at:
-
- Atlantic Sable Shilohs
- 1469 Church Street
- Port Williams, Nova Scotia
- Canada, B0P 1T0
- Phone: 902-542-7284
- Fax: 902-542-0578