Little Blessings Shih Tzus

Shih Tzu Adoption Application

littleblessingsalpacas@gmail.com • www.littleblessingsalpacas.com

Are you a First time Dog owner?    YES  NO

If No how many dogs have you lived with?

Dog Name
Type / Breed
Spayed / Neutered
Owner for how long?
Still Own

If No What Happened?
 

Dog Name
Type / Breed
Spayed / Neutered
Owner for how long?
Still Own

If No What Happened?
 

Who currently lives with you:

What gender of dog are you looking for?MALE  FEMALE  EITHER

What role would you like your new dog to play in your life

Companion / Family Pet  Show/Obedience/Agility  Breeding  Other

If Other explain:

How do you plan to exercise your dog?

Daily Walks  Fenced Yard  Jogging  Off-leash Parks  Other

If Other explain:

Would your new dog be living with or visited by

Children under 10  Children over 10  Dogs  Cats  Livestock

Where will your new dog live:

Mostly indoors  Mostly outdoors  A fenced yard  Tied up  Running Free

During a typical day, when left unattended, where will your dog be kept:

How many hours per day will your dog remain unsupervised:

Where will your dog sleep at night:

How much time do you plan to spend with your puppy / dog:

Is your yard fenced?    YES  NO

If yes, how large is the area that is fenced?:

What type of fencing?:

Does everyone want this puppy?    YES  NO

If no, who has issues / concerns?:

Who will provide regular care for the Puppy / Dog?:

Who will commit to brushing your puppy daily?:

Have you ever had to give up a pet for any reason?    YES  NO

If yes, what happened to your pet:

Friend  Shelter  Veterinarian  Sold  Other

Explain other: 

How will you encourage and enforce appropriate behavior?:

Have you ever obedience classes?    YES  NO

Do you plan to attend basic obedience class with your puppy?    YES  NO

What will you do with your puppy if you move:

Take puppy / dog with us  Find a new home  Take to shelter  Return to Little Blessings  Other

Please provide the name and phone number of your Veterinarian

First Name
Last Name
Phone Number
Alt. Phone Number
Email Address
Address
City
State
Zip Code

Have you ever incurred extraordinary medical expenses for a pet?    YES  NO

If yes, What happened?:

Why do you want a Shih Tzu?:

I certify that all of the information on this application is true and I understand that false information may result in the inability of purchasing a puppy from Little Blessings Shih Tzus. I understand that the only interest in the process is to match perspective owners/buyers with the right puppy for their home and lifestyle. Little Blessings Shih Tzus reserves the right to sell to any potential buyer. I further affirm that I have read and understood all material in this pre-agreement package.

YES, I agree  I do not agree