PUPPY APPLIC.

AZZARO SHILOH SHEPHERDS PUPPY APPLICATION

AFTER COMPLETING
THIS PUPPY APPLICATION,
PLEASE CLICK SUBMIT.
THANK-YOU FOR YOUR INTEREST
IN OUR LITTER!

*indicates required fields

*NAME:

*ADDRESS:

*HOME PHONE#:

WORK PHONE#:

CELL PHONE#:

*E-MAIL ADDRESS:

*HOW DID YOU HEAR ABOUT US:

*IN WHAT TYPE OF HOUSING DO YOU RESIDE:

*DO YOU LIVE:

*DO YOU:

IF YOU RENT, DOES YOUR LANDLORD PERMIT DOGS:

YES
NO

WOULD YOU PERMIT US TO CONTACT YOUR LANDLORD:

YES
NO

LANDLORDS NAME AND PHONE #:

*DO YOU HAVE A FENCED YARD:

YES
NO

*WILL YOU BE ABLE TO LEASH WALK YOUR DOG 2-3 TIMES:

YES
NO

A DAY FOR THEIR NECESSARY FUNCTIONS, IF NOT WHY:

MY HOUSEHOLD CONSISTS OF:

*HOW MANY ADULTS & AGES:

*HOW MANY CHILDREN & AGES:

*HOW MANY DOGS - BREED TYPES, SEX & AGES:

*HOW MANY CATS:

*HOW MANY OTHER ANIMALS/TYPES:

*HOW MANY DOGS HAVE YOU PREVIOUSLY OWNED, WHAT TYPE:

*MY PREVIOUS DOGS- PLEASE CHECK ALL THAT APPLY:

WERE GIVEN AWAY
DIED OF OLD AGE
RAN AWAY
WERE KILLED IN AN ACCIDENT
HAD SICKNESS/EUTHANIZED
OTHER PLEASE EXPLAIN

EXPLANATIONS:

*DOES ANYONE IN YOUR HOUSEHOLD HAVE ALLERGIES:

YES
NO

IF YES, WHAT TYPE OF ALLERGIES:

*DO YOU HAVE ANYONE LIVING IN THE HOUSEHOLD THAT IS:

ELDERLY
HANDICAPPED
HAS SPECIAL NEEDS
NONE OF THE ABOVE

*I AM INTERESTED IN A PET AND PLAN TO SPAY / NEUTER:

YES
NO

*I AM INTERESTED IN SHOWING:

YES
NO

*I AM INTERESTED IN BREEDING:

YES
NO

*I AM INTERESTED IN POSSIBLY TRAINING MY DOG IN:

OBEDIENCE
SEARCH & RESCUE
TRACKING
AGILITY
SCHUTZHUND
THERAPY WORK/SERVICE ANIMAL
HERDING
CONFORMATION SHOWING
JUST BEING A HAPPY HOMEBODY/ COACH POTATO
OTHER/PLEASE EXPLAIN

PLEASE CHECK ALL THAT APPLY EXPLANATION:

*MY DOG WILL SPEND THE MAJORITY OF HIS/HER TIME:

EXPLANATION:

THE TEMPERAMENT I'D EXPECT FROM MY DOG AS PER THE:

FOLLOWING SCENARIO WOULD BE:

THE MAILMAN KNOCKS ON THE DOOR WITH A PACKAGE:

*DELIVERY, I WANT MY DOG TO:

EXPLANATION:

*I WOULD LIKE A:

MALE
FEMALE
EITHER

*WHICH FAMILY MEMBER WILL HAVE THE MAJOR:

RESPONSIBILITY FOR THE DOG:

*HOW MANY HOURS A DAY WILL THE DOG BE LEFT ALONE:

*IF NEEDED ARE YOU WILLING TO CRATE TRAIN YOUR DOG:

YES
NO

DO YOU AGREE TO RETURN YOUR SHILOH TO US HERE AT:

AZZARO SHILOH SHEPHERDS IN THE EVENT THAT YOU ARE:

*UNABLE TO KEEP IT DUE TO UNFORESEEN CIRCUMSTANCES:

YES
NO

ARE YOU WILLING TO KEEP THE DOG UP TO DATE ON ALL:

ITS VACCINES, SCREEN FOR HEARTWORM, USE HEARTWORM:

PREVENTATIVE, USE FLES & TICK PREVENTATIVE:

IF NECESSARY, AND ALWAYS KEEP THE DOG SAFE:

*FROM HARM:

YES
NO

ARE YOU WILLING TO HAVE YOUR DOG SEEN BY A:

*VETERINARIAN AT LEAST ONCE A YEAR:

YES
NO

ARE YOU WILLING TO KEEP YOUR DOG PROPERLY:

IDENTIFIED AND ABIDE BY YOUR STATE AND LOCAL LAWS:

*CONCERNING DOG OWNERSHIP:

YES
NO

*WHAT IS THE NAME OF YOUR VETERINARIAN:

*ADDRESS:

*PHONE #:

*PLEASE LIST 3 REFERENCES WE MAY CONTACT:

*NAME, ADDRESS, & PHONE NUMBER:

*NAME, ADDRESS & PHONE NUMBER:

BY SUBMITTING THIS APPLICATION, I/WE AUTHORIZE THE:

VETERINARIAN LISTED ON THIS APPLICATION TO RELEASE:

INFORMATION TO AZZARO SHILOH SHEPHERDS:

*PLEASE FILL IN APPLICANTS NAME AND DATE:

ANY OTHER QUESTIONS, REQUESTS OR COMMENTS:

PLEASE INCLUDE THEM HERE:

PLEASE CLICK THE SUBMIT BUTTON
SO WE CAN RECEIVE YOUR APPLICATION IMMEDIATELY
AND START YOU ON YOUR WAY TO FINDING
THE LOVE OF YOUR LIFE!

WE AT AZZARO SHILOH SHEPHERDS SINCERELY THANK YOU
FOR YOUR INTEREST IN THIS AMAZING BREED OF DOG.

If You Have Any Questions Please Don't Hesitate To Call Us At Any Time.
We Would Love to Talk Shiloh With You!
434-977-0178

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