Celebri Te Akitas

Potential Puppy Client Information


Thank you for your interest in our dogs.  We would appreciate you answering the following questions so that we can more easily select the right puppy for you.  All information is confidential.  This application must be completed along with Photographs of home, yard, and fencing. Thank you for your cooperation in answering our questions.




City____________________________________  State _____________  Zip  __________

Home Phone ________________________  Work Phone  __________________________
E-mail Addriess_____________________________________________________________

Children in household ______________________________  Ages _ __________________

Do you live in an apartment or a house?____________________Do you have a fenced yard

Size and Height of fenced area________________________________________________

Do you have any other pets? If yes, what types and breeds, are they intact or altered________


Have you ever bred a litter of dogs before? If yes, what kind and how many?______________

Have you researched the Akita breed?___________________________________________

Do you own any other Akitas male or female?_____________________________________

Where will this Akita spend most of its time? Outside, inside, crate, or a run?______________

Are you planning on attending any obedience/training classes with your Aktia?_____________

Do you prefer a male or female?_______________________________________________

Are you looking for a Show quality or a Companion puppy?__________________________

Do you plan on breeding this Akita?____________________________________________

What specific traits do you want in your Akita? Color, size, structure, etc________________


Have you ever had to place your dog or give it back to the breeder? If yes, what were the     

Circumstances? ___________________________________________________________


Why are you interested in obtaining one of our Akitas? ______________________________

Are you familiar with the characteristics and temperament of the Akita?___________________

Please use below to add any other information you wish us to consider in placing one of our Akitas with you.  We would appreciate it if you would give us a little insight into the expectations you may have for this new addition to your family. 


Please provide pictures of your home and/or where the puppy will live.
Thank you again for your interest in our dogs

Signature  _________________________________  Date  _______________________
  _________________________________  Date  _______________________


E-Mail to: celebriteakitas@aol.com







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