Twilight Acres Shiloh Shepherds

Puppy Application Form
These may seem like a lot of questions but the information is used for us to see what you are looking for in a Shiloh and for us to get to know you better! After all once you receive a Twilight Acres puppy you then become part of our extended family :) When the puppies are 7-8 weeks of age they are evaluated for temperment, conformation etc. Puppies will be then placed with the most suitable families according to the information on this application.

Please answer all of the questions with as much information, and accuracy, as possible. If you need more room, please use the open comments box at the end of the form. Click on submit when completed and you will hear from me shortly.
Information is kept private and confidential, and under no circumstance is distributed or sold to any other parties.If you are having problems with this form please let me know. It can also be printed, or copied to email if preferred.
I will try and reply within a couple days, if you don't hear from me send me an email to territhomson@live.ca . Just incase I did not receive the application.

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Occupation *

Dwelling Information *

Apt./Condo Town-Home Single Detached

In What type of region do you reside *

In Town In Country Farm/Ranch

If Country/Farm or Ranch, how many acres *

Do you rent or own *

If rent, does your landlord allow large dogs *

Do you have a fenced in yard (physical or electronic) *

If not, are you able to walk your dog at least three to four times per day for at least 30 minutes *

Family Information - My family consists of:

Adults and ages *

Children and ages *

If no Children, do you anticipate having children in the future *

Do any adults or children in the home have any special need *

Which family member will have the primary responsibility for the dog *

How many hours a day would the dog normally be left alone *

Current pets

Please tell me about your current pets, how many dogs to you have, ages, sex and breed, also cats or other pets you currently own. *

How many dogs have you owned in the past 10 years: *

My past dogs were: *

Given away Accidently Killed Died of Age/illness Euthanized

If given away or euthanized, why *

Planned puppy information:

I am interested in a pet only and plan to spay/neuter: *

yes no

I am interested in potentially showing/ or breeding: *

Yes No

Other training/activities: *

Other activities your family enjoys: *

The temperment that I would like from my dog is: *

Soft/Laid Back Medium/More Active High/Very Active & Outgoing

I would like a: *

Male Female Either

If your first choice was unavailable, would you consider getting the other gender: *

Yes No

I would prefer a: *

Sable Dual Solid Either

The coat type I would prefer *

Smooth/Short Plush/Long Either

Are you willing to crate Train your Shiloh: *

Yes No

Do you agree to return your Shiloh Shepherd to us for rehoming if for any reason you were unable to keep the dog: *

Yes No

Do you agree to properly socialize your puppy and at the very minimum sign your puppy up for puppy kindergaten: *

Yes No

Are you willing and committed to keep your Shiloh up to date on all shots, vacinations, screening for heartwork, and to use heartworm preventative medicine: *

Yes No

Are you willing to have your dog seen by a vet at least once per year: *

Yes No

Are you willing to licence your Shiloh, obide to any municipal by-laws, and to keep your dog properly identified: *

Yes No

Are you willing to provide us with follow-up reports regarding any issues, health updates, and pictures *

Yes No

Are you willing to screen your Shiloh for various health issues that can affect the breed, and to communicate any results or issues to us: *

Yes No

Do you currently have a veterinarian: *

Yes No

If yes, What is there name and number: *

May we contact them: *

Yes No

Please list at least 3 references that we may contact with phone numbers: *

When are you looking at getting a puppy: *

Any other valuable information we should know? Questions, comments, or concerns? *