| Who lives in your household? Please include all names and ages: |
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Are there any other animals in your household? If yes, let us know what kind of animal and the age of each.
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Please describe your family, and your lifestyle:
Whose responsibility will it be to feed, walk, train and socialize your puppy? |
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| Where will the puppy sleep? |
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| Do you plan to crate train the puppy? |
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| Will someone be home with the puppy during the day? |
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| Where will the puppy stay during the day if you are not at home? |
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| What accommodations will you have for your dog when you travel? |
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| Describe where you live; is it a house, condo, apartment, something else? Is it in an urban, suburban or rural location? Do you own or rent, and if you rent have you checked with your landlord about getting a dog and his/her policy towards animals? |
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| Do you have a fenced yard? Or, do you plan on putting one in before bringing a puppy home? |
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| Do you have a swimming pool? If so, is it fenced off? |
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| Are you looking for an outdoor dog, or one that will reside indoors for most of the time? Please explain: |
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| Do you plan on attending any puppy kindergarten or obedience classes with it ? If so, where? |
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| Do any of your family members have any type of allergies to dogs ?
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| Do you have a veterinarian ? What is the name of the clinic? Please list their contact information: |
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| May we contact your vet for a reference ? |
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| Have you ever owned a dog before? If so, what breed and for how long? If deceased, how did it die? |
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| Please tell us why you are interested in a Samoyed puppy. |
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| Do you hope to breed this dog in the future? |
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If yes, are you willing to have this dog screened for hip and eye abnormalities ? Are there any other tests or screenings that you plan on doing? Like the elbows, heart, XL-PRA, etc.?
Would you furnish us with the results of all your findings?
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| If you plan to breed this dog, have you ever bred a dog before? Have you ever raised a litter before? |
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| Do you plan to do any of the following: Conformation, Herding, Packing, Sledding, Weight Pull, Agility, Flyball, Obedience, Therapy, Carting? Other? |
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| Do you belong to any breed or training clubs? Do you plan on joining one?
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Do you prefer a male or female? Does it matter? If so why? Would you consider a puppy of the opposite sex if your first choice isn't available?
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How do you plan on picking up your puppy? At our home, in Moreau, NY, or at an airport, or other?
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| Lastly, are you ready to groom religiously, and have white hair everywhere?
Yes
No |
Is there anything else you would like to tell us?
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Are there any questions that you have for us?
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