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Puppy Application Form
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 This form is designed to ask questions in order to help you and Imperial Tibetan Spaniels decide if a Tibetan Spaniel is the right breed 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 you 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 in a busy household, another may panic and need a quiet home. We have found that Tibetan Spaniels, indeed, have their own personalities and needs.
1)  I am interested in Show Quality Male/Female or Companion Male/Female
 
 
2)  Contact Info: Name, Address, City, State, Zip and Telephone. NOTE: Personal Information is confidential and is NOT compiled, sold or shared
 
Email:
First Name:
Last Name:
Title:
Company:
Street address:
City:
State (US):
Zipcode (US):
Country:
Time zone:
Phone:
Fax:
 
3)  In what type of housing do you reside? Apt/Condo /Town-house /Single Family
 
 
4)  Do you: / Own / Rent
 
 
5)  If you rent, does your landlord permit dogs?
 
Yes  No 
 
6)  Do you have a pool If YES, is it fenced separately? Please describe.
 
 
7)  Have you previously owned a Tibetan Spaniel or any small breed?
 
Yes  No 
 
8)  If yes, what was your experience?
 
 
9)  I have owned dogs in the past years.
 
 
10)  My dogs were: /given away, / killed in accidents, / died of old age, / euthanized because
 
 
11)  Do you have any other pets?
 
Yes  No 
 
12)  My dogs are (list age, sex, breed and if neutered/spayed):
 
 
13)  Do you have a fenced yard?
 
Yes  No 
 
14)  If yes, type of fence ______ ____ Height of fence in feet __ _
 
 
15)  If no, are you able to leash walk your dog at least four times a day for necessary functions and exercise?
 
Yes  No 
 
16)  If no, why not ______________________________________________
 
 
17)  Do you have any children and what are their ages?
 
 
18)  My household consists of: Adults, Children, Dogs, Cats, Birds,
 
 
19)  Does anyone in the household have allergies?
 
Yes  No 
 
20)  If yes, what type?
 
 
21)  I would like a: / Male, / Female, /
 
 
22)  I am interested in a pet and plan to spay/neuter.
 
Yes  No 
 
23)  I am interested in showing and/or breeding.
 
Yes  No 
 
24)  Are you planning on becoming a breeder? If so what is your background in breeding?
 
 
25)  I am interested in training my dog in: / obedience, confirmation classes
 
 
26)  My dog will spend most of his/her time: / in the house, / in the fenced yard, / in a kennel run, / on a chain, / running loose, / other
 
 
27)  Which family member will have the major responsibility for the dog?
 
 
28)  How many hours a day would the dog normally be left alone? ______________
 
 
29)  Are you willing to crate train your Tibetan if necessary? _
 
Yes  No 
 
30)  Do you agree to return your Tibetan spaniel to us if you are unable to keep it?
 
Yes  No 
 
31)  Are you willing to keep the dog up to date on all its shots, screen for heartworm & use heartworm preventative?
 
Yes  No 
 
32)  Are you willing to screen your dog for eye defects?
 
Yes  No 
 
33)  Are you willing to have your dog seen by a vet at least once a year?
 
Yes  No 
 
34)  Are you willing to license the dog and keep it properly identified?
 
Yes  No 
 
35)  Are you willing to provide us with follow up reports as needed?
 
Yes  No 
 
36)  Are you willing to pay the shipping charges for this dog?
 
Yes  No 
 
37)  How did you find us?
 
 

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