PUPPY APPLICATION

Instructions: Please copy and paste and complete this form and either snail-mail or email to:
James L. Hansen
810 W. 13 Mile
Royal Oak, MI 48073
USA
jaimehansen1@comcast.net


If completing this form in Word, please feel free to bold the correct answers, or if completing manually, just circle the correct answer. Please complete this form and either snail-mail or email to the address below.

My Information
James L. Hansen
810 W. 13 Mile
Royal Oak, MI 48073
USA
jaimehansen1@comcast.net


Your Information
Date

Name

Address

City – State – ZIP
Phone(s)
Home: -
Cell: -
Work: -
E-Mail


Signature/Name
Signature: - ________________________________________ Date ________________
Signature: - ________________________________________ Date ________________


References
Veterinarian
Name: -
Phone number: -
Additional Contact – name and phone number of a local individual (preferable not a relative) who knows or has known your other animals.
Name: -
Phone number: -
Has any member of your household ever been convicted of cruelty to animals?
Yes No


Adopting an Older Icelandic?
Are you interested in an older trained Icelandic that needs to find a new home?
Yes No

If you are looking for an older Icelandic, would everyone living in your house be able to come and meet a possible adoptee?
Yes No

Are you willing to allow a home visit?
Yes No



Your Previous Experience with Animals
Have you had dogs before?

Yes No

If yes, what breed(s) have you had?



What happened to them?


Are any members of your household allergic to dogs?

Yes No


Your Dog’s New Home?
What type of dwelling do you currently live in? (Check the best choice.)
_____ Apartment
_____ Condo-Apartment
_____ Condo-Detached
_____ Duplex
_____ Farm-house
_____ House
_____ Modular home, Mobile home
Do you rent or own?
Rent Own
If you rent your residence, are you allowed to have a pet(s) and have you met the requirements of your lease to have a dog?
Yes No

Please list your landlord’s name and phone number if you rent:

How long have you lived at your present address?

What kind of a dog are you looking for? (Circle or bold all which apply.)

Indoors predominantly

Inside/outside

Outdoors predominantly

When your dog is outside, will it be in a fenced yard/lot or in a fenced dog-run?

Is your yard completely fenced?
Yes No

Will your Icelandic be tied up when it is in the yard?
Yes No

What kind of fence do you have and how tall is it?

How big is the fenced yard or lot?

If you have a dog run, how big is it?

Is the fenced area and/or dog run secure?

Do you have a dog-door from the house to the yard?
Yes No


What Are You Looking For?
Where will your Icelandic be when you are home?

Where will your Icelandic be when you are not at home?

How many hours a day will your dog be alone?

Where will your Icelandic sleep at night?

Where will your Icelandic be of you are away overnight?

Where will you keep your dog if you are away on vacation?

How many adults are in your household?

Does everyone in your household want this adoption? (If you answered no, please explain.)
Yes No


Do you have any other pets? If you have other pets, how many and what kind?
Yes No


Do you have any children living with you? (Please list their ages and sex.)
Yes No


Have you ever had to give up a dog? If yes, what were the circumstances?
Yes No


How long have you been looking for an Icelandic Sheepdog?

What made you decide that an Icelandic Sheepdog would be best for you?


How did you hear about the Icelandic Sheepdogs?


What is the preferred sex of your Icelandic? (Circle one.) Why?
Male Female Either


Are you interested in breeding this dog?
Yes No

Are you interested in spaying or neutering?
Yes No

Are you willing to make a lifetime commitment to your dog even if you have a life-style change such as: moving, divorce, marriage, children, etc.?
Yes No

What is your preferred age range for your new dog?


How long do you plan to keep this dog?


If something happens that you or members of your household can no longer care for this dog, who will assume the responsibility?


What is the price range you would consider for puppy? (Normal range is between $800 and $2,000. Caution: price is not a guarantee of quality.)


Why do you think your home will be a good home for a puppy?

Training Your Dog
Will you crate-train your Icelandic?
Yes No

If you are going to crate-train your dog, how many hours a day will the dog be in its crate?

Will you allow your Icelandic on your furniture?
Yes No

Will you allow your Icelandic on your bed?
Yes No

If your Icelandic requires obedience training, are you willing to go through the training process?
Yes No

Have you had any experience in housebreaking and/or training a dog?
Yes No

If your Icelandic makes a mistake, how will you correct (discipline) the dog?


How will you discipline your dog for:
Digging

Barking

Chewing

What type of food will you feed your dog?

Will you feed the dog canned food?
Yes No

Will you feed the dog “people” food?
Yes No

If the dog requires a special diet, will you supply it?
Yes No

Who will feed and care for your Icelandic?
Yes No

Who will exercise and train the dog?

If necessary, are you willing to bathe or groom your Icelandic on a regular basis?
Yes No

How will you exercise your dog?