Please note: You will be required to sign a spay/neuter contract for
a pet companion and all pets are on a limited registration
DANZN STARZ KENNELSPUPPY QUESTIONAIREThe following questions
are being asked of you so that the right puppy and the right placement of each puppy is made by bringing the various requirements
of both the puppy and his/her new owner(s) into perspective, BEFORE a choice is made. I hope you will agree that
the animal's welfare must be my foremost consideration in considering a placement. Please answer the following
questions as completely as you can, and return this form. You may print it, complete it and drop it in the snail
mail, or copy/paste into an email and send it back.
Name: ____________________________________________________________
Address:
____________________________________________________________
Phone:______________________
Email: _______________________________
Referred by: _________________________________________________________
How
did you hear about the Schipperke? ___________________________________
____________________________________________________________________
What
reference materials have you read?
_____________________________________________________________________
Have you
met a Schipperke in person? Whose? _______________________________
How long have you lived at this address?
____________________________________
Type of dwelling: House
Condo Apartment Mobile home
If renting,
please give name and address of landlord:
_________________________________________________________________________
Who
will be the primary care giver? ____________________________________________
Where will the puppy be
kept during the night? ___________________________________
Where will the puppy be kept during the day?
____________________________________
Is anyone home during the day? ______________________________________________
How
many hours on the average will the puppy be left alone? _______________________
Will there be someone
available to feed and exercise the puppy during the day? _________
Have you ever owned a dog before?
What breed? ________________________________
How long did your last pet live? What were the circumstances
of its' death?
________________________________________________________________________
Do you have any other animals?
_____________________________________________
Do you have any children? If yes, what are their ages.
________________________________________________________________________
Are
you interested in a male or female puppy? Why?
________________________________________________________________________
Are
you most interested in a Puppy (8-12 weeks) or would a young adult (6-18 mo), or retired show dog (3+ years) interest you?
Occasionally we will keep a show/breeding prospect and for one reason or another does not work out and becomes available to
a good home. These dogs have had manners/leash training, house training, crate trained and likely started obedience
and retriever training as well. The reasons we would be parting with these individuals vary from a wide variety of structural
"not-quite-good-enough-to show/breed" reasons including: poor topline, over angulated rear, low tail set, ear set, etc.
and are never personality/disposition flaws.
________________________________________________________________________
What
do you expect the activity level of your dog to be:
very high high moderate
below average (circle one)
How will the puppy be confined when he is outside?
________________________________________________________________________
Do
you have a fenced yard or suitable pen?
________________________________________________________________________
Have
you ever house trained a dog before?
________________________________________________________________________
Are
there training classes nearby? What is the predominant training method and do they offer Puppy Kindergarten?
________________________________________________________________________
Which
activities or competitions interested you?
________________________________________________________________________
Are
you interested in showing the dog in the conformation ring? YES NO
Are you interested
in competition in performance events such as obedience, agility, search and rescue, tracking, etc.? YES
NO
If yes, have you shown a dog to any performance titles?
________________________________________________________________________
Do
you intend to breed the dog? YES NO
Additional information that you'd like to offer
that will help us in puppy placement.
REFERENCES: (Please
note - all references will be contacted, so please include contact information)
Veterinarian?
___________________________________________________________
Co-worker? ___________________________________________________________
Friend?
________________________________________________________________
Other? _________________________________________________________________
Thank
you for taking the time to complete this questionnaire, we will be in touch with you about the possibility of placing a Schipperke
into your family. Please don't be afraid to call or email often to inquire, we don't see this as "bugging", but rather
as a genuine interest in obtaining a well-bred Danzn Starz Schipperke.