NewMoon Shiloh's Puppy Application

NewMoon Shiloh's Puppy Application

Please complete in full before submitting
Applicant Info
Name

First Name Last Name
Email
example@example.com

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

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

Adults Only Small Children and Adults Grown Children and Adults
Other Pets (Check all that apply)

Currently own a Shiloh Shepherd owned a Shiloh Shepherd previously this is my first dog owned dogs previously, but none at the present dog(s) are currently in the house cat(s) are currently in the house other type pets are currently in the house other type pets are currently in the house
About Your Home (Check all that apply)

single family home Acerage Apartment/Condo Own My Home Rent My Home Fenced Yard No Fenced Yard, puppy will be walked regularly
Puppy Specifics
Puppy Preferences (check all that apply)

Male Female Male or Female, gender doesn't matter Smooth Coat Plush Coat Plush or Smooth, no preference Color doesn't matter Color is very important (place preferred color in "Other" box below) Pet Only, Spay/Neuter is the plan Interested in Show and/or Breed Quality
Puppy's Life
Health Care and Licensing (check all that apply)

veterinarian wellness visit at least once per year keep puppy up-to-date on all vaccines screen for heartworm & use heartworm preventative use flea preventative keep 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 classes basic obedience advanced obedience agility search and rescue therapy/assistance schutzhund herding
Puppy's Daily Life (check all that apply)

puppy will be crate trained puppy will spend most of time in the house puppy will spend most of time in a fenced yard puppy will spend most of time in a kennel run puppy will spend most of time on a leash/chained puppy will spend most of time loose outside puppy will be left alone less than 4 hours per day puppy will be left alone between 4 - 8 hours per day puppy 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 it Agree 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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