BB's Imperial Shih Tzus' Application
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Date *
MM
/
DD
/
YYYY
Is there a certain puppy you are applying for? *
Name of Puppy?
What sex are you looking for ? *
What Color are you looking for? *
Required
What Size are you looking for? (note no guarantees on sizes but we try to estimate as close as we can) *
Applicant's Name *
Co- Applicant's Name
Address *
Home Phone
Cell Phone *
Alt Phone
Email Address *
Alt Email Address
Home *
Landlord Contact Information or Describe Other
Describe your home *
Do you have a Fenced Yard? *
If NO, how ill you exercise your Shih Tzu?
Who will be primarily responsible for this dog's Care? *
How many hours per day will your dog be alone? *
Where will he/she be kept when you are not at home? *
Who will care for your puppy while you are on vacation? *
If you have to move, what will you do with your dog? *
Do you have any children? *
If Yes, what ages?
What will you do with your dog if you have any/more children? *
Are you willing to be responsible for this dog for the next 16 years or more? *
Will this dog be taken to the Vet annually for check-ups? *
Please provide the name and address of your Veterinarian *
We may contact the for a reference
Do you have other dogs? *
If Yes, How Many?
What Breed?
Other dogs you currently have
What Ages?
Other dogs you currently have
Where will your dog sleep at night? *
What will you do if your dog exhibits dis-satisfactory behaviors? *
example: barking, messing in the house, chewing, etc
Do you plan on taking your puppy to training classes? *
Not required but have referrals if needed
Does everyone in your home want a puppy? *
Have you read BB's Imperial Shih Tzus Buy/Sell Contract? *
** Posted on Website
Electronic Signature with Last Four of your Social Security Number *
Signature *
Full Legal Name
Submit
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