Applicant Information
Full Name
*
Address
*
City
*
State
*
Zip code
*
Phone (Cell)
*
Phone (Work)
Phone (Home)
Email
*
All members of your household (Name & Age)
How did you hear about us?
Pomsky Questions
Why is this breed right for you?
Are you interested in a male or female pup? (Please be aware that we are unable to control the amount of puppies we have as well as the sex of the puppy… being open to either gender will better your chances on receiving a puppy out our current litters.)
Male
Female
a. Are you open to the opposite sex of your choosing?
Yes
No
b. Why do you have this preference in gender?
Are you prepared to make this commitment for the next 14 years
Yes
No
Home Environment
What hobbies do you have?
Do you own or rent?
Own
Rent
How long at current address?
How many family members are home during the day?
If no one, who will care for the young pup?
Do you or anyone living in your household smoke?
Yes
No
Where will the dog sleep?
How many hours a week do you plan to spend with your dog?
Is your yard fenced?
Yes
No
What kind of fence?
If you are planning an invisible fence, how will you contain the pup until it is old enough to use the invisible fence?
Are you planning to move in the next 5 years?
Yes
No
What will you do with your dog when you go on vacation?
Pomsky Planning
Do you plan to have your dog spayed or neutered?
Yes
No
What happened to your last dog?
How many other pets do you have now?
What kind are they, and how old?
What is the estimate cost to feed and care for your puppy for one year?
What do you feed your present dogs?
What do you plan to feed your dog while it is a puppy?
What do you plan to feed your dog once it becomes an adult?
How will you manage shedding?
Does anyone in the family have allergies?
Yes
No
If you do not have children do you plan to have children in the next 2 years?
Yes
No
Maybe
If you have children, do they have any fears of dogs?
Are your children involved in the idea of getting a puppy?
Is getting a puppy a surprise or a gift for someone in the household?
Do you have a way to secure baby/children toys away from the puppy?
If your puppy swallowed a sock and the veterinarian told you he/she needed an operation that would cost $1200, what would you do?
Veterinarian Information
Vet Practice:
Vet’s Name
Vet Address
Vet Phone Number
Vet Fax
Training Information
Do you plan to have the dog trained professionally (explain)?
Are you willing to take your puppy to socialization classes so that it will become an enjoyable companion and good canine citizen?
Yes
No
Maybe
Have you used a crate to house train puppies before?
Yes
No
Have you trained any dogs to achieve titles? If so, which titles?
Yes
No
Breeding Information
Are you planning to breed your Pomsky?
*
Yes
No
Maybe
Do you presently breed Pomskies?
*
Yes
No
Previous breeders/kennel you have purchased a Pomsky from?
*
Contractual Questions
Are you aware that in the event of uncontrollable life circumstances that prohibit you to keep your puppy for any reason that the breeder will have first option to take back the puppy? (This is for any reason. Puppy IS NOT to be sold or transferred to anyone without consent of the breeder for the life of the puppy.)
*
Yes
If due to unforeseen circumstances you have to place the dog, I require you return the puppy/dog to me and I will place the puppy or help you find a suitable new home, do you agree to this?
*
Yes
No
Are you willing to abide by a contract that specifies matters regarding registration, health, breeding, spay/neuter, and general care?
*
Yes
No
Personality Preferences
How would you describe the personality or specific traits you are looking for in your new dog? Do you want a couch potato, an active dog, a very active dog, etc? (Please be specific about energy level, drives, confidence, dominance/submission, independent, professional cuddler, appearance and anything else that is important to you in your dog.) More details the better!
*
References
Reference 1 Name
*
Relationship to you (Reference 1)
*
Address (Reference 1)
Phone Number (Reference 1)
*
Email Address (Reference 1)
*
Reference 2 Name
Relationship to you (Reference 2)
Address (Reference 2)
Phone Number (Reference 2)
Email Address (Reference 2)
Any additional info that you would like to add to the inquiry? Pics of family, kids, pets, etc. Hobbies, activities, anything that may give details about the lifestyle that you will share with your puppy.
Pics or files you'd like to add