Siosalach Shar-Pei  -   " More than Just Wrinkles "   

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Name:                                                                   Date:

Address:

Have you ever owned a dog before?yes  no     If Yes, What breed(s)?

For what purpose are you interested in purchasing a Shar-Pei?Breeding Watchdog Companion Showdog Pet Other.

Are there other pets in your home?yes  no  If yes please list

Have you ever purchased a registered dog before?yes  no  If yes, where from?

Do you believe in spay or neuter for a pet?yes  no  If no, why?

Where do you live? House Apartment Other

Do you own or rent?own  rent  If renting do you have your landlords permission to have pets? yes  no

Do you have a fenced yard? yes  no  If yes, what type and height? If no, are you prepared to exercise your dog several times a day?yes  no

Is there someone home during the day? yes  no  If no, how many hours will the dog be left alone?

Will the dog be kept in the home yard both  If left in yard, will the dog have shelter  tied staked

Have you had experience in housebreaking a dog?yes  no 

Do you believe in crate training your dog?yes  no

Where will you keep your dog when you are away?

Do you have a vet that is knowledgeable about Shar-Pei?yes  no

Do you believe in euthanasia for problem pets?yes  no

How much do you expect to pay for food & vet bills per month?

Do you plan to groom your pet  have groomed professionally?

Do you have children?yes  no If yes, list ages: If no, what happens to the dog if you do have children?

Do you understand the responsibilities and cost of owning a purebred dog?yes  no

Is any family member allergic to dogs?yes  no

How did you come to hear of our kennel?

What made you choose this breed?

Have you researched the Shar-Pei?yes  no

What information have you heard that is discouraging about this breed?

Do you understand the specific health concerns and socializing necessities associated with the Shar-Pei?yes  no

Do you understand we have a sales contract that must be signed? yes  no

    Here comes the hard part: hit "Edit,Select All" then right click on highlighted area, now hit "Copy"

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