This form is designed to help us place the right puppy with the right owner. Your assistance in filling out this form will help us to make the best choices for you and for our pups. All the information included is confidential and is for use in placing puppies only. Thank you for taking the time to provide us with this information.
We are dedicated to our dogs and to our puppies, and we want new owners to be happy and proud of their new puppy, too. Please complete and return this questionnaire, along with any questions you might have for us.
Applicant's Name and Address and phone/cell numbers:
Email Address:
How were you referred to us?
How many adults are in your household? _____ How many children?
Please list the ages of children.
Is anyone at home during the day to care for the pup? If not, can someone exercise and feed the pup midday?
Do you have a securely fenced yard? If not, are you willing to either securely fence or to put up a suitable kennel for your dog?
Do you currently own any other pets? If so, please list them.
Have you previously owned other dogs? Please list them.
What is your primary reason for wanting an Akita?
Will this puppy be a companion, show prospect or combination? Obedience/Agility prospect? Other?
Where will your dog live? House? Kennel run? Both? Other [describe]?
Do all family members want a new puppy?
Do any family members have allergies to dogs?
Who will be the primary trainer/care giver for this puppy?
Are you willing to take this puppy to Puppy Kindergarten and Obedience classes, and to otherwise make the effort required to properly socialize a young puppy?
Are you willing to purchase a dog crate to crate train your puppy?
What type of personality do you like in dogs?
What traits do you dislike in dogs?
Do you prefer male, female, or have no preference?
Do you have color or marking dislikes?
Are you committed to and prepared for taking care of this dog's needs for his/her entire life?
If you are not buying this puppy specifically as a show dog, are you willing to neuter/spay him/her?
If no, why not?
Please describe the stress level in your home 1 bieng low to 5 being high, and further
explain in a few words.
Please provide the name, address, and phone number of your veterinarian as a reference.
Applicant's Signature
Date
Your additional questions or comments
Thank you for taking the time to complete our Application.
Please return all forms to the address provided above or click on the submit button below.
or reset to clear this form.
