ABOUT YOU:
Name:
Address:
City: Province: Postal Code:
Home Phone: Work
Phone:
Email Address:
How did you here about us?
How did you get interested in the Shiloh Shepherd?
1.) I would like a a) Male
b) Female
a) Plush coat b) Smoth coat c) Not sure.
a) Sable b) Dual c) Not sure.
2.) The temperment I expect from
my dog, as per the following possibilites would be;
The mailman knocks at the door with a package
to deliver, I want my dog to:
a) Bark, then make friends.'
b) Bark, and not make friends.
c) Be quiet and friendly.
My dog and I are taking a walk in the park and I see some old friends. I want my dog to:
a) Wag his tail.
b) Ignore them.
c) Attack them.
3.) My dog will spend most of his time:
a) In the house.
b) In a kennel run.
c) Running loose.
d) On a chain.
e)
Other.
My dog will spend an average of hours
alone every day.
4.) I am interested in training my dog in:
a) Obedience.
b) Agility.
c) Search and Rescue.
d) Schutzhund.
e) Therapy/Seeing eye
f) Other
5.)
I am interested in show and/or breeding? YES NO
6.) I am interested in a pet only and plan to spay/neuter. YES NO
7.) I have owned dogs in the last years.
8.) My dogs were:
a) Given
away.
b) Killed in accidents.
c) Euthanized because
d) Died of old age.
e) Other
9.) My house consists of dogs. Please list age, breed, sex.
10.) My house consists of:
a) Adults
b) Children(ages)
c) Cats
d) Other
11.) The adults in my house are: 0-20 20-30 30-40 30-50 50-60
60 and up.
12.) Do you have a veterinarian? YES NO
Name:
Address:
Phone Number:
a.) May we call them for a reference? YES NO
b.) Are you aware of the cost of caring for this puppy? i.e. vaccinations. worming,
grooming ect. YES NO
13.) Any comments you may have that may help us choose the correct
puppy for you
(i.e Lifestyle:runner,hiker, etc) would be appreciated.
Thank you for your cooperation. If you have any other questions or comments please don't
hesitate to call us
or email us.
Phenom
Shilohs
Claude and Mirjana Venne
613-582-7125