Corrine's Shihtzus CKC Puppy Application
Copy and Paste this into a Email and fill it out and email
it to casca1@mts.net
Date:_________________ Signature:_______________________
Contact Information
Name:_____________________________________________
Address:__________________________________________
City, Province/State, Area Code:___________________
__________________________________________________
Phone #:________________________________________
E-mail Address:___________________________________
Your Family
If married, does your spouse also want a puppy?
___Yes ___No ___ Not Married
Do you have children? ___Yes ___No
If yes, how old are the children? (list ages)___
_______________________________________________
Do you own your own home or rent? ___Own ___Rent
If renting, does your landlord allow dogs? ___Yes
___ No
Do you have a fenced yard? ___Yes ___No
How many hours a day will the puppy be home alone? ___________________________________________
__________________________________________________
Do you now or have you ever owned a dog? ___Yes
___ No
If yes what breed(s) do you/have you owned?______
__________________________________________________
How long did your last pet live?__________
What were the circumstances of its' death?_________
_________________________________________________
Why do you want a Shih Tzu?______________________
__________________________________________________
__________________________________________________
Puppy Preference
What is your preference? ___Male ___Female
___No preference
Do you have a color preference?___________________
__________________________________________________
Would you like to be added to our waiting
list for the next available puppy that matches
your preferences? ___Yes ___No
Are you seeking a pet/companion puppy (Limited Reg.)?___Yes ___No
If yes are you prepared to have your pet /companion puppy spayed/neutered? ___Yes ___No
Or a Show/Breeding Potential puppy (Full Reg.)? ___Yes ___No
Do you understand the difference between Full and Limited Reg.?___Yes ___No
Is there a specific puppy/dog posted on our web
site that you are interested in? ___Yes ___No
If yes please indicate puppy/dogs name or number:
__________________________________________________
Occasionally we may have adult dogs or
older puppies available for adoption.
Would this interest you? ___Yes ___No ___Maybe
Are you willing to return the dog/puppy at
your own expense to the breeder should you no
longer be able to care for the dog/puppy at any time during his/her lifetime?
___Yes ___No
Have you ever returned a pet to the breeder, given away a pet, or ever taken a pet to a pound or shelter? ___ Yes ___ No
If yes what were the circumstances?_______________
______________________________________________________
_______________________________________________________
Personal References (2)
Name:_____________________________________________
Contact information:_____________________________
_________________________________________________
Name:____________________________________________
Contact information:_____________________________
__________________________________________________
Please note that all puppies are sold on a
first come first serve bases. A $500.00
non-refundable deposit is required to hold a
puppy.
This puppy application form serves as
both a waiting list for up and coming
litters/or the selection of available
puppies posted on the web site and as a
process in which forever homes are
selected for our puppies.
Please note: We reserve the right to reject
any application forms.
Our puppies are our first
priority and we want only the best
possible homes for them