CorrinesCKCShihtzus

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.