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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.
Name___________________________________________________________________
Address_________________________________________________________________
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 _______________________
Signature _________________________________ Date _______________________
E-Mail to: celebriteakitas@aol.com
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