NewMoon Shiloh's Puppy Application

NewMoon Shiloh's Puppy Application

Please complete in full before submitting
Applicant Info
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
How did you hear about us?
Getting To Know You
Who do you reside with (Check all that apply)

Adults OnlySmall Children and AdultsGrown Children and AdultsOther
Other Pets (Check all that apply)

Currently own a Shiloh Shepherdowned a Shiloh Shepherd previouslythis is my first dogowned dogs previously, but none at the presentdog(s) are currently in the housecat(s) are currently in the houseother type pets are currently in the houseother type pets are currently in the house
About Your Home (Check all that apply)

single family homeAcerageApartment/CondoOwn My HomeRent My HomeFenced YardNo Fenced Yard, puppy will be walked regularly
Puppy Specifics
Puppy Preferences (check all that apply)

MaleFemaleMale or Female, gender doesn't matterSmooth CoatPlush CoatPlush or Smooth, no preferenceColor doesn't matterColor is very important (place preferred color in "Other" box below)Pet Only, Spay/Neuter is the planInterested in Show and/or Breed QualityInterested in Mentorship OpportunitiesOther
Puppy's Life
Health Care and Licensing (check all that apply)

veterinarian wellness visit at least once per yearkeep puppy up-to-date on all vaccinesscreen for heartworm & use heartworm preventativeuse flea preventativekeep puppy properly identified (tags/microchip)abide by all state and local laws concerning dog ownership
Veteranarians Name and Contact Info (if not applicable briefly explain why)
Formal Training/Plans for Puppy (check all that apply)

puppy classesbasic obedienceadvanced obedienceagilitysearch and rescuetherapy/assistanceschutzhundherdingOther
Puppy's Daily Life (check all that apply)

puppy will be crate trainedpuppy will spend most of time in the housepuppy will spend most of time in a fenced yardpuppy will spend most of time in a kennel runpuppy will spend most of time on a leash/chainedpuppy will spend most of time loose outsidepuppy will be left alone less than 4 hours per daypuppy will be left alone between 4 - 8 hours per daypuppy will be left alone for more than 8 hours per day
More Details
Breeder/Owner Relationship (check all that apply)

Agree to return Shiloh to NewMoon Shilohs should you be unable to keep itAgree to provide regular follow up reports on the health & well being of your puppy. We want our owners to become "family"!
References list 3 references (2 if you would like to count your veterinarian listed above); include complete names, addresses, telephone numbers and emails
Additional Comments: List any further questions you may have for us, or let us know details about yourself this application may have missed! We have very limited amounts of puppies and high volumes of interest. Here's where you can make yourself stand out!
Submission...

By submitting this application, you agree to authorize the veterinarian listed above to release information to NewMoon Shilohs.

Should your application be accepted, a DEPOSIT will be required and a contract will be sent over when puppies are closer to availability.

Thank you for your interest in NewMoon Shilohs!
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