This form
is designed to ask questions in order to help you and Howling Winds
decide if a Shiloh Shepherd is the right breed for you. We will (with
the help of the breed founder, other breeders and/or animal behaviorists)
gladly help you select the right puppy for you. We have been watching
the puppy's behavior, personality and temperament. The information on
this form helps us get to know a little bit about you. We urge ou to
be very honest with us about yourself and your home life, as these puppies
rely on us to find the very best homes for them. Where one puppy may
be perfect for a busy household, another may panic and need a quiet
home. We have found that Shiloh Shepherds, indeed, have their own personalities
and needs.
Name:
Email Address:
Address:
City:
State:
Zip:
Country:
Home Phone:
Work Phone:
How did you hear about us?
Please
take your time answering the following questions; answer all the questions.
Give us as much information as possible; if you need more room,
please use the comment section and label with the correct question
number.
1. In what type of housing
do you reside?
2. Do you live:
if Farm/Ranch, how many acres?
3. Do you
If you rent, does your
landlord permit dogs?
yes
no
Would you permit us to
contact your landlord?
yes
no
Landlord's name and phone
number:
4. Do you have a fenced
yard?
yes
(in feet) and type
no
If no, are you able to
leash walk your dog at least 4 times daily for necessary functions
and exercise?
yes
no
If no, why not?
5. My household consists
of the following number of:
Adults
Children
dogs
cats
other
My children's ages:
Adult ages:
My dogs are (list age,
sex and breed):
6. I have owned
dogs in the past
7. My dogs were:
because:
other reasons:
8. Does anyone in the household
have allergies?
no
yes, what type?
9. Do you expect to have
children?
yes
no
10. Do you have a person
living in the household that is
11. I am interested in
a pet and plan to spay/neuter:
yes
no
12. I am interested in
showing and/or breeding:
yes
no
13. I am interested in
training my dog in:
14. My dog will spend most
of his/her time:
, if other, please explain
15. The temperament I expect
from my dog, as per the following possibilities would be:
The mailman knocks at
the door with a package delivery, I want my dog to:
other, please explain
16. I would like a:
17. I would like a:
18. I would like a:
19. Which family member
will have the major responsibility for the dog?
20. How many hours a day
would the dog be left alone?
hours
21. If necessary, are you
willing to crate train your Shiloh?
yes
no
22. Do you agree to return
your Shiloh to us at Howling Winds if you are unable to keep it?
yes
no
23. Are you willing to
keep the dog up to date on all of its vaccines, screen for heartworm,
use heartworm preventative and use flea preventative?
yes
no
24. Are you willing to
screen your dog for heart and eye defects?
yes
no
25. Are you willing to
have your dog seen by a vet at least once a year?
yes
no
26. Are you willing to
have the dog's hips x-rayed (OFA or PennHip) at the age of 12-13 months
and provide us with a report?
yes
no
27. Who is your Veterinarian?
Name:
Address, City, State,
ZIP:
Phone Number:
28. Are you willing to
license your dog, keep it properly identified and abide by your state
and local laws concerning dog ownership?
yes
no
29. Are you willing to
provide us with the follow up reports as needed?
yes
no
30. Are you willing to:
31. Please list 3 references
(2 if you would like to count your Veterinarian). Please include complete
names, addresses and telephone numbers:
a.
b.
c.
By submitting this application,
I (we) authorize the Veterinarian listed on this application to release
information to Howling Winds.
Applicant's name:
Date:
Any further questions and/or
comments you may have can be included with this application. Please make
your comments below:
Feel
free to contact
us for more information.
Thank
you for your interest in Howling Winds.
If you prefer to download
Puppy Application in either MSWord
or PDF format, please return
to the address noted on the form.
