Application for Puppy
Your Name
Your Email address
Number of adults in home 
Number of children in home 
Home Address
Your Phone Number 
Ages of Children
Have you ever owned a Shih Tzu ?
Why did you choose a Shih Tzu?
Other Pets Living in your Home
Residence Type (eg.own,condo,acreage)
Yard Type (fenced,not fenced)
Are you Planning to move in the next 3 years ?
Your employment situation (working,retired,unemployed)
The longest time your puppy would be left alone
Preferred Age (puppy,adult)
Preferred Sex of Shih Tzu (male,female,either)
Preferred Color (black and white, gold black and white, solid black, red)
Do you intend to Show your Puppy ?
Do you intend to Breed?
Do you intend to put your puppy in obedience ?
Do you have a Veterinarian ?
If yes, Veterinarians name
Veterinarians Phone number
Veterinarians Address
Do you have a Groomer Selected ?
If yes, Groomers Name,address and phone number
How did you hear about my Kennel ?(referral,website,friends)
Comments (tell us a little about yourself)
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