Swankee Keeshonden - Summerwind Canines

Swankee Keeshonden - Summerwind Canines

SUMMERWIND KEESHONDEN & COLLIE PURCHASE APPLICATION Jean Gauchat Hargis & Joshua Hargis PO Box 19293 Sacramento, CA 95819 (916) 765-9421 www.summerwin...

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SUMMERWIND KEESHONDEN & COLLIE PURCHASE APPLICATION Jean Gauchat Hargis & Joshua Hargis PO Box 19293 Sacramento, CA 95819 (916) 765-9421 www.summerwindcanines.com [email protected]

Personal Information- So that the puppy you are applying for will be best suited to your home and lifestyle, please answer the following questions completely and honestly. Please note that an incomplete application will not be considered.

Name Address City Phone: (home) Best time to call: Occupation: Spouse/partner’s name Phone: (home) Best time to call: Occupation:

(work) (work)

State

Zip

home

 work  Age

home

 work  Age

Family Information: married  Are there other adults in your household?

(cell)

email

(cell)

single  living together  living w/parents  If so, what are their names, ages, occupations and relation to you? ______________________

_____ Do they agree with your decision to get a dog? ___________ Are there children in your household? If so, what are their names and ages? ____________________ __ Do you plan to have children in the next few years? Are you frequently visited by children? _______ Do any children have access to your yard/house when you are not home? _______ _________ If yes, explain, including how you will prevent children from teasing a dog, letting a dog out either intentionally or by accident, or doing any other thing that might be detrimental to the welfare of a dog in your care. Is anyone in your household allergic to animals? ___________ Is anyone in your household afraid of dogs? Is anyone in your household elderly or frail? Does anyone in your household have any health conditions, physical limitations, or other special needs that we should consider in finding the right dog for you? Please explain. Do you have close neighbors who might be adversely affected by a barking dog? Do you live in a: house  condo  apartment  other If you rent, do you have written permission from your landlord to own a dog? Landlord’s name: Telephone Do you have a yard? Size Type of fence Type of latches Can children open gates? Have you inspected the fence for holes the dog might get through? Do you have a pool? Is it fenced? Can the dog get to it? Who will be responsible for: Feeding Exercise _Vet care Training Cleaning up _____ Will you allow us to visit your home?_

Height

Your Experience With Dogs Why have you decided to get a dog at this time?

Why have you decided on a Keeshond or Collie?

If you have not had a Keeshond/Collie before, have you done research on the breed? Do you understand the special needs of this breed? Briefly explain what you understand to be the needs of this breed.

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Have you ever had a dog before? own. Attach additional paper if necessary.

If yes, please give the following information for each dog, including dogs you no longer

Name: Breed: Age: Sex: How long have you owned this dog? Where did you get him/her? Do you still have this dog? If not, what happened to it?

Spayed/neutered 

Name: Breed: Age: Sex: How long have you owned this dog? Where did you get him/her? Do you still have this dog? If not, what happened to it?

Spayed/neutered 

Name: Breed: Age: Sex: How long have you owned this dog? Where did you get him/her? Do you still have this dog? If not, what happened to it?

Spayed/neutered 

Name: Breed: Age: Sex: How long have you owned this dog? Where did you get him/her? Do you still have this dog? If not, what happened to it?

Spayed/neutered 

Name: How long have you owned this cat? Do you still have this cat?

Breed:

Age: Sex: Where did you get him/her? If not, what happened to it?

Spayed/neutered 

Breed:

Spayed/neutered 

Name: How long have you owned this cat? Do you still have this cat?

Breed:

Spayed/neutered 

Cats

Name: How long have you owned this cat? Do you still have this cat?

Other pets: (please specify)

Age: Sex: Where did you get him/her? If not, what happened to it? Age: Sex: Where did you get him/her? If not, what happened to it?

Veterinarian used in the past 5 years: May we ask this vet for a reference? Name: Hospital Address: Phone: Have you ever adopted an animal from a shelter or rescue group before? If yes, give the name and address of the shelter/rescue group as a reference. _______________________ Have you ever surrendered an animal to a shelter or rescue group?

If yes, describe the circumstances.

_______________________

What other breeds have you been considering? Where will the dog stay during the day? Where will the dog stay at night? How long will the dog be alone (without humans)?

How will the dog receive exercise? (mark all that apply.) Fenced yard  Daily walks  Dog park 

hours per day

days per week Other:

When you are away (vacations, business travel, etc.), what will happen with the dog? Travel with you  Kennel  Pet sitter  Other:

Are there any areas of your home where the dog will not be allowed? (please specify) Will the dog be allowed on the furniture?

We take our dogs back at any time if the people are unable to keep them. Under what circumstances might you need to return the dog?

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Do you plan to participate in dog sports (e.g.: obedience, rally, agility) with this dog? If yes, explain. In what other activities do you plan to participate with this dog? (eg: jogging, camping, therapy, etc.) Are you planning to enroll your dog in an obedience/training class? How much time and effort are you willing/able to spend training your dog? Please give a detailed description of your experiences training dogs. How will you discipline your dog?

How much are you able/willing to spend on vet care for a dog each year? What do you see as the normal vet care requirements of a dog? Do you know how to care for a Keeshond’s coat and trim its nails? (We’ll be happy to teach you!) Are you aware that a Keeshond may bark to protect its territory, may be relatively active, has a heavy coat that requires regular grooming, and sheds seasonally? Are you aware that the Keeshond is bred to be a family companion; therefore, it needs attention and human companionship, and may develop behavior problems if left alone for long periods of time? Please list three people who are knowledgeable about your care of dogs. If possible, please include two people in the dog community (for example, a vet, trainer, groomer, or rescue person.) Please do not list more than one member of your family. 1. Name: Relationship to you 2. Name: Relationship to you 3. Name: Relationship to you

Telephone: Relationship to dogs Telephone: Relationship to dogs Telephone: Relationship to dogs

email email email

Do you prefer a: male  female  either is okay  What age do you prefer? Will you consider: An older dog? A younger dog? A rescue dog?______________ A dog with a physical problem that might be controlled or cured with the use of drugs or surgery?

A dog with an emotional problem that might be controlled or cured with training, behavior modification or medication? ______________________ What personality traits do you want your dog to have? _________________ After researching the breed, are there any traits in the breed that you prefer to avoid? _______________________ How were you referred to Summerwind?____________________________________________________

All puppies are sold on a contract which you will be required to sign. A home visit may also be required. Please indicate by initialing here that you understand and agree to these requirements. ___________

Thank you for taking the time to fill out this questionnaire. I strive to breed quality Keeshonden and Collies with sound bodies and temperaments, and am looking to place them into loving, forever homes where they will be a part of the family. Signature: Print name: Date:

PLEASE MAIL COMPLETED APPLICATION FORM TO: Jean Gauchat-Hargis PO Box 277 Woodland, CA 95776 [email protected]

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