POTENTIAL PUPPY CLIENT INFORMATION
Laurie Ottow/Shobo Akitas
2125 W. Kimberly Ave.
Milwaukee, WI. 53221
414.325.6649
Thank you for your interest in our dogs. We would appreciate your
answering the following questions so that we can more easily test and select
the right puppy for you. All information is confidential.
Thank you for your cooperation and help answering our questions.
(If no phone number is given this application shall be ignored)
Name(s)_______________________________________________________________________________________
Address_______________________________________________________________________________________
City_______________________________________________________
State________________________________ Zipcode_________________
Email Address___________________________________________________
Phone #'s- Home________________________________
Work____________________________
Best times to reach you_____________________________________________________
Family Status (Circle) Married Single
Divorced Living Together
If married or living together does other adult approve of getting
this dog?_______________
Your age(s)_______________________________________
Occupation(s)___________________________________________________________________________
Do you own your home?_________________
What Homeowners Insurance Co. do you have?_______________________________________________
Children in household?_____________ Ages_________________________________________________
Others in household who will have contact with this dog?
____________________________________________________________________________
Will the dog come into contact with children other than household
children?______________
What dogs have you previously owned and for how long?
___________________________________________________________________________________________
Dogs present at home now? (breed, sex, age)
______________________________________________________________________________________________
Are they spayed/neutered?_______________________
Other pets currently owned?
__________________________________________________________________________________
Name of your vet_________________________________________________________________
Phone number of your vet _______________________________________________________
Why are you interested in obtaining one of our Akitas? ______________________________________________________________________________________________
______________________________________________________________________________________________
Are you familiar with the characteristics and temperment of the
Akita?____________________
Are you aware as a general rule AKITAS
are DOG AGGRESSIVE? _______________________________
What qualites do you like in the Akita?
______________________________________________________________________________________________
What characteristics don't you want to find in an Akita?
______________________________________________________________________________________________
Have you ever owned and Akita before?__________
If yes, explain:
________________________________________________________________________________
Are you committed to care for this dog for it's LIFETIME?_______________________________
Do you have a fenced in yard?_______________
Type and height of fence
___________________________________________________________________
Where will the dog stay during the day?__________________________________________________
Where will the dog stay during the night?________________________________________________
Puppy/dog interested in- Male____ Female____
Color preference(s)
_______________________________________________________________________
No color preference_______
Older dog- Male____Female_____ Color preference_____________________________________
No color preference_______
Have you ever raised a puppy before?__________________________________
Who will have primary responsablity, caring for and training this
dog?
_________________________________________________________________________________________
If it is one of the children, does this person fully understand
the time commitment & effort required too properly care for an Akita?_________________________________________________
Do you fully understand the time and effort it takes to care of
an Akita?_________________
Would you be willing to undertake this job if child failed to perform
it?_____________________
Have you ever obedience trained a dog? _____________________________________________________________________________________________
Would you be willing to obedience train a dog that you purchased
from Shobo Akitas if it was recommended or required, as in the best interest
of both you and the dog?______________
Would you be willing to allow breeder to visit your home by appointment
both before and after you purchase a puppy from Shobo Akitas?______________________________________
How did you hear about Shobo Akitas? ___________________________________________________
Referances (3) and how long you've known
eachother (include phone/address/email address):
1.)______________________________________________________________________________________
______________________________________________________________________________________
2.)______________________________________________________________________________________
______________________________________________________________________________________
3.)______________________________________________________________________________________
______________________________________________________________________________________
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FOR SHOW POTENTIAL ONLY
Have you purchased show potential Akitas from
other breeders before? ____________________________
If so, please state who, when and what happened
to those Akita(s)? ___________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
___________________________________________________________________________________________
How many shows do you attend a year? _____________________________________________________________
How many dogs have you finished?_______________________________________________________________
Are you a member in good standing with the
ACA? __________________
Have you ever applied to be a member of the
ACA? ___________________
Have you ever been suspended from the AKC?
If so, explain ____________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Have you ever bred litters before, if so how
many litters in how many years? __________________________________
_________________________________________________________________________________________________
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SIGNATURE(S)_________________________________________________________________
DATE_______________
Please 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.
Thank you again- your interest is sincerely appreciated.