Puppy Application


Please fill out the application so I can learn more about you. 
Note: Copy and Paste into your text editor 

Name:                                                             Address:                                                     

City:                                                                State:                                     Zip:               

Home Phone:                                               Work:                                                           

Fax/Email/Other:                                                                                                                

Married           Single            Living Together                  Living w/Parents              

Age(s):                                    Do you (both) work outside the home?                     

What are your work hours? (list each)                                                                        

Occupation(s):                                                                                                                   

Length of employment (yrs):                                                                                          

Number of children at home  Ages:                 

Do you rent or own?          A house, apartment, condo, other:                              

How long at present address?                                                                                        

Are you planning on moving in the next 6 months?                                               

If you move, what will you do with your pets?                                                                                                                                                                                                                                                                                                                                                            

Do you have a yard?          Approx. size:           Do you have a fence?                 

Type of fence:                                              Approx. height:                                         

Have you inspected your fence for holes that your dog may try to crawl out of or dig through?                          

Do you have secure latches?                  Can children open gates?                     

Have you checked your yard for poisonous plants or other items your dog may ingest?              

Is there anything near the fence that would allow the dog to jump over the fence?              

Have you ever owned a Whippet?                     When?                                             

What happened to the dog?                                                                                                                                                                                                                                          

Have you ever taken a pet to a shelter?                        Why?                                                                                                                                                                                   

List all pets currently at home:

(Include small caged pets and barnyard animals)

Type of Animal

Age

Sex

Spayed / Neutered

Kept In / Out

How long owned

 

 

 

Yes / No

In / Out

 

 

 

 

Yes / No

In / Out

 

 

 

 

Yes / No

In / Out

 

 

 

 

Yes / No

In / Out

 

 

List all dogs owned in the past 10yrs:

Breed / Mix

Spayed / Neutered

In / Out

How long owned

What happened to dog

 

Yes / No

In / Out

 

 

 

Yes / No

In / Out

 

 

 

Yes / No

In / Out

 

 

 

Will you enroll your Whippet in an obedience class?                                             

What is your main reason for wanting a Whippet?                                                                                                                                                                                                  

What functions do you expect? (check all that apply)

Watchdog                      Hunter               Breeder                         House Pet                               

Companion                    Companion for other pets                     For the children                       

Gift                    for whom?                                                                                                      

Temperament preferred? (check all that apply)

Very active                     Active  Easygoing                    Lapdog             Sedate                        

Intelligent                       Playful              Protective                     Affectionate                  Shy                  Independent                          Other                                                                                                  

I would like my new dog to get along with:

Other dogs _____ Cats_____ Birds_____ Farm Animals_____ Young Children                             

Do all members of the family favor this type of dog?                                              

Does any member of the household have pet allergies?                                       

Sex preference?                  Will you consider a dog of the opposite sex?          

Age preference? 1st choice                                 2nd choice                                     

The oldest dog I would consider should be no older than                          yrs.

Are you financially able to care for this dog should it become seriously ill or require surgery?                                                                                                            

What arrangements will you make when you go on vacation?                                                                                                                                                                            

How many hours a day will the dog be left alone?                                                  

Where will the dog stay during the day?                                                                    

Where will the dog be kept night?                                                                                  

 

How do you plan to exercise the dog?                                                                       

Have you ever crate trained a dog?                   Do you have objections to using a crate for your dogs safety?                                                                                  

Who is your vet? 

Please provide Name, number and address as a reference

                                                                                                                                                                                                                                                                                                                                                                                                                                               

Are you agreeable to returning the Whippet to Whippet Rescue, should unforeseen circumstances arise wherein you would no longer be able to keep the dog?               

 

Would you be willing to have a club representative visit your home?               

How did you find out about us?                                                                                   

Please give 2 personal references:

Name

Phone

Years Known

Relationship

 

 

 

 

 

 

 

 

 

Below please list any additional information you may wish us to consider in placing a Whippet in your care:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

I hereby certify all the above information to be true and accurate to the best of my abilities:

Signature:                                                                                         Date:                        

Spouse’s Signature (if applicable)                                             Date:                        

Thank you again, your interest is deeply appreciated!!!

 

Fax or email application to oxfordwhippets@gmail.com fax 619-427-2982