Puppy Application

NOTE: We DO NOT ship our puppies.
We do deliver within a 350 mile radius for a minimal fee


First Name:	Last Name:
Street Address1:	Street Address2:
City/Town:	State:
ZipCode:	E-mail Address:
Home Phone:	Cell Phone:
What sex puppy would you prefer? Male Female Would consider either	What color puppy would you prefer? **
How did you find us? If Other, please explain:	When would you like to receive your puppy? Type of Registration Desired Full Registration ($300 add'l) - Show or Breed Limited Registration - Pet Only
Please tell me a little about yourself:
Have you ever had a dog before? If so, what type of dog? How long did you have it?
Are there children in the family? How many? What ages?
Do you live in a house or apartment? If an apartment, does the landlord allow dogs?
Do you have other pets? How many? What kind/breed?
Will you keep the dog indoors or out?
Do you work during the day? If so, where will the dog stay when you’re gone?
Do you have a fenced yard?
Do you know the dog laws in your community?
Are you aware of the costs involved in veterinary care, including spaying and neutering, purchasing a good quality dog food, boarding the dog when you are away, annual license fees, etc.?
Are you aware that you are taking on the responsibility of another living creature who will, for the rest of its life, be dependent upon you?
Are you willing to return this dog to me should you become unable to care for it?
What are your breeding plans for this dog, if any?
	"Thank you !!"

** Color cannot be guaranteed. Shih-Tzu's can and do change color.
Adult (outer) coat may differ from puppy (under) coat.