Shiloh Shepherd Price - HIGHLAND HILLS SHILOHS

Name(Required)

Email Address(Required)

Address

Street Address Address Line 2 City State ZIP Code

Home Phone

Work Phone

What Do You Do for Work?

Who is Your Veterinarian?

May We Contact them?

Yes

Vet Information

Street Address Address Line 2 City State ZIP Code

Vet's Phone

Are You Looking for a Male or Female Puppy?

Male

Female

Color Preference?

Black & Tan

Sable

Black

White

No Preference

How Did You Hear About Us?

Black & Tan

Sable

Black

White

No Preference

Who Can We Thank for Referring You?

Reference #1

Street Address City State ZIP Code

Reference's Phone

Reference #2

Street Address City State ZIP Code

Reference's Phone

Please List Names and Ages of the People in Your Household

Please List Other Pets in the Household and Whether They Are Spayed or Neutered

Spayed?

Yes

Spayed?

Yes

Spayed?

Yes

Who Will Have the Primary Responsibility for the Care and Training of Your Puppy?

Please Tell Us About the Other Dogs You Have Owned/trained?

What Activity Level Will Your Puppy Encounter in Your Home?

What Activities Would You Like Your Dog to Do?

Please Describe Where Your Puppy Will Stay During the Day.

Please Describe Where Your Puppy Will Sleep.

How and Where Do You Plan to Confine Your Puppy When You Are Not With Them?

What Plans Do You Have for House Training Your Puppy

What Foods Do You Plan on Feeding Your Puppy/dog? Have You Considered a Raw Diet?

What Exercise Do You Plan for Your Puppy/dog?

Do You Have a Fenced Yard, or Access to Outdoor Space Where the Puppy Can Safely Play? Please Describe Where the Puppy Can Play.

Anything Else You Want Us to Know About You? Please Include Any Questions and/or Comments You May Have Here

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Puppy Application