Regal Shilohs Puppy Application

Thank you for your interest in a Shiloh Shepherd puppy from Regal Shilohs. In order to meet our initial requirements, you must:

be 21 years of age or older and eligible to enter into a legal contract;

complete this application form in full, supplying all pertinent contact information;

have the agreement and full participation of your family;

be able and willing to spend the time and money necessary to provide training, veterinary care, daily exercise and a nurturing home for your puppy.

This form is a Puppy Application -- not an agreement to purchase a puppy. Your completed application will provide the information we need to eventually select the best puppy for you, one who will fit in well with your family, lifestyle and expectations. The completion of this application is the first step for us to get to know you, because as your breeder we will be working together very closely over the coming months and years.

Please complete this Puppy Application in full.

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Section 1

Name: *Required Field

Address:

City: State/Province: ZIP/Postal Code: Country:

Home Phone (with area code): *Required Field

Cell Phone (with area code):

Email Address: *Required Field

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Section 2

You are:

If employed, list your employer :

Work Phone:

Describe your home:

You currently:

If you rent or live with parents, provide landlord or parents name:

Landlord or parents phone number (with area code):

If you've been at your current address less than 1 year, please list previous address and how long you were there:

Do you have a fenced yard?

Please give a detailed description of your current home:

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Section 3

Are you interested in a: Female Male No Preference

Your coat length preference is: Plush Smooth No Preference

My coat pattern preference is:

I intend to crate train my puppy: Yes No

I am interested in a pet and plan to spay/neuter: Yes No

I am interested in showing or possibly breeding: Yes No

If you are interested in showing or possibly breeding, please detail any experience you may have;

I am interested in training my dog in:

My dog will spend most of its time:

The temperament I expect from my dog is:

The activity level I expect is a dog that will:

Where will your puppy spend the day? (Describe in detail)

Where will your puppy spend the night? (Describe in detail)

How many hours per day or night will your puppy be left alone?

You expect your Shiloh Shepherd puppy to become:

Do any members of the household have puppy training experience? No Yes

If you are interested in showing or possibly breeding, please detail any experience you may have;

If so, please describe this training experience in detail:

Are you planning to attend puppy classes? Yes No

Do you agree to keep your puppy up to date on vaccinations and visit your vet for annual check-ups? No Yes

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Section 4

List all household members and their ages:

Member 1:

Member 2:

Member 3:

Member 4:

Member 5:

Member 6:

Do you expect to have (additional) children: Yes No

Please describe if anyone in your household has special needs or physical restrictions:

Do any household members experience pet allergies? No Yes

Is every member of your household in agreement on acquiring a Shiloh Shepherd puppy? No Yes

Who will be primarily responsible for the daily care (exercise, feeding, training and grooming) of your puppy:

Age of primary caregiver?

Who will be responsible in the absence of the primary care giver?

Age of secondary caregiver?

List any pets/livestock you currently have, including their gender, age and breed(s):

Pet 1: - Spayed/Neutered?:

Pet 2: - Spayed/Neutered?:

Pet 3: - Spayed/Neutered?:

Pet 4: - Spayed/Neutered?:

Pet 5: - Spayed/Neutered?:

Do any of your current pets have any existing medical conditions? Please describe as accurately as possible:

If you do not currently have a dog, have you owned a dog(s) in the past?: No Yes

If so, describe the type of dog(s) you've had, how long you've had them and the reason you no longer have them:

Who is your current Veterinarian? (Name, address, phone number)

If this is your first pet, what veterinarian do you plan to use? (Name, address, phone number)

Are your pets currently on Heartworm Preventatives?

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Section 5

How did you find Regal Shilohs? Eg. a specific magazine, online, word of mouth, etc...

Where and when did you discover the Shiloh Shepherd breed?

Why have you decided upon a Shiloh Shepherd puppy?

As a means of producing the best Shiloh Shepherds we can for generations to come, health testing is extremely important to the future of our breeding program. Regal Shilohs expects every puppy buyer to agree to perform a set criteria of health tests once your dog reaches two years of age. This stipulation stands regardless if a dog is sold as a pet or as show/breeding quality, and is a standard practice for all reputable breeders.

Do you agree to comply with the required health testing once your dog has reached the age of two?

Will Health Test Will Not Health Test Maybe, depending on the cost.

Please use the space below to supply any additional comments or information you'd like to share with us: