lisa@affinitysamoyeds.com
Puppy Application
Affinity Siberians
Please complete this form to submit your application for a puppy.
Name:
Email:
Cell phone:
Home phone:
Breed:
Show quality or pet?
Gender pref.
Eye color preference (Siberian only):
1st color preference (Siberian only):
2nd color preference (Siberian only):
Please be aware that we do not breed often and we do not breed for certain coat or eye colors.
We breed for health and temperament and for finding the best match for you and your family.
Do you currently have other pets?
If yes, list pets:
Name of Veterinarian:
Veterinarian phone #:
Have you ever owned these breeds before?
Do you rent or own your home?
Name of landlord:
Landlord phone #:
If you rent, do you have your landlord's permission?
Do you have a fenced-in yard?
Do you have a kennel?
Please briefly describe your fence and/or kennel:
Why are you looking at these specific breeds?
Please tell us a little but about your lifestyle and what you are looking for in one of our dogs.
Please describe any activities you plan to take part in with your new puppy (i.e. obedience, rally, agility)
Do you plan on participating in training classes?
Do you have children under 15?
If yes, list ages:
Please tell us how you heard about us:
