Date:

1.  Your Name:

     Your Phone Number:

     Your Email Address:

2.  Your address and how long you've lived at your current location?

3.  Do you own or rent your home?

4.  If you rent please provide the name and phone # of your landlord

5.  Do you have a fenced yard?  Is it safe?

6.  If you don't have a fence how do you plan to exercise your dog?

7.  Occupation?

8.  How many hours per day will you be away from home for work?

9.  Will you have someone come in during the day to feed and exercise and feed your puppy?

10.  How many people are in your family?  Ages?  Are you planning on more children?

11.  Do you own other pets?

12.  What type and how old are they?

13.  What happened to your last dog?  Please be specific.

14.  What gender do you prefer?  Why?

15.  What activities do you plan on doing with this dog? 

      1. House Pet Only    2. Showing/Conformation    3. Agility

      4. Obedience    5. Breeding    6. Lure Coursing    7. Other

16.  Have you done any of the above?  Would you be interested?

17.  Do you agree with the use of crates or other forms of temporary confiment, while you are shopping, working, out to dinner, etc.?  Why or why not?

18.  Where will your whippet be during the day?  At night?

19.  What provisions will you make for the dog when you travel?

20.  If your lifestyle changes what will you do with your dog?

21.  Whippets live a long life, are you prepared to take care of them in their old age?

22.  Are you prepared to sign a non-breeding contract?

23.  Please provide us with references:

23.  Is there any additional information you would like to share?  Perhaps something you feel?  Why you want a whippet and what would make your home especially suited for a whippet?

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