Name:
Today's Date:
Email Address:
Daytime Phone:
Evening Phone:
Cellphone:
Street Address:
City:
State:
Zip Code:
I am interested in a:
Select
One:
Small
Standard Puppy
Large
Standard Puppy
Young
Rescue Dog
Mature
Rescue Dog
Not
Sure
Have you owned this breed
before?
Select
One:
Yes, I've
owned an American Eskimo before
No,
I've not owned an American Eskimo before
I'd like more
information on the breed
I would prefer a:
Select
One:
Puppy
(9 weeks)
Older Dog (1 year or
older)
Mature Dog (7 years or
older)
I would prefer the gender
to be:
Select
One:
Male
Female
No
Preference
Are you looking for a pet
or a show dog?
Select
One:
Pet
Show
Dog
Not
Sure
Are you planning to breed
this dog?
Select
One:
Yes
No
Not
Sure
If
you have children, how many and what are their ages? If you do not have
children will you be planning a family later?
If
you have other pets how many, what type and what are their ages?
Do you have a fenced yard
or similar safe enclosurer?
Select
One:
Yes,
I have a fence
No, I do not have a fence
No,
I do not have a fence but plan to build one.
Yes, I have a kennel
enclosure.
I
need information on how to keep my pet safe.
Will this animal live
inside, outside or both?
Select
One:
Inside
Outside
Both
How
long will the puppy/dog be left alone daily and how will you insure
that it is toileted, fed and cared for if you are gone during work
hours?
Do you have a family
veterinarian? If so please list his/her name and phone number as a
reference.
We
live in Seattle and do not ship our puppies. They are allowed to fly to
their new homes 'In Cabin' with their new owners. Are you willing to
drive to pick up your puppy and if so, how far are you willing to
drive, or would you prefer to fly your pet?
Select
One:
Over
100 miles
Over
200 miles
Over
500 miles
I'd
prefer to fly 'In Cabin' with our new puppy.
We sell with a contract
that also includes a spay/neuter agreement and a puppy return agreement
that simply states at whatever age, if you cannot keep the animal it
must come back to me for re-homing. It protects my puppies from ever
ending up in a rescue
Our
contract also requires that you subscribe to our vaccination program, a
protocol outlined by Dr. Jean Dodds of California and supported by my
local vet of many years. We vaccinate with only Parvo/Distemper at 8 weeks with a booster at 12 & 16 weeks. I ask that Rabies vaccination be held until after 6 months old if possible. No other vaccines are required no others should be given. Our philosophy is 'less is better'. I believe that we are completely over vaccinating our animals to the point of creating our own immune deficiency problems and other related illnesses. Are you willing to agree to our requirements and able to agree to work with us to help insure a healthy well adjusted puppy after leaving our care?
If
you have questions or concerns regarding our vaccination requirements
you may state them here and I will be more than happy to respond to
them.
This
space is reserved for any pertinent information you would like for me
to have that I have not previously asked or to ask further questions
you might have of us.
