This questionnaire is intended to help us in making the best match possible when placing a puppy or rescue.  Please be detailed in your answers as it will give us a better picture of who you are. 

 
Name and Address:
City  State Zip

Email

Telephone (specify if day or evening calls preferred)

Are you looking at an American Eskimo or a Pomeranian?

If you are looking at a specific puppy/dog from our WEB site, please indicate which one. 
If you are not looking at a specific one indicate if there are specific characteristics (color, size, sex) you want.

If you have ever owned a pet before describe the experience. 

If you plan on showing or breeding your dog explain your level of involvement, indicate if you
have ever done this before and describe past experiences (good or bad).

Describe the home you will be giving your new pet.  Indicate if you are in a house or apartment
and if you have an enclosed yard or nearby open space for play (such as a park).

Explain what being a caretaker of a pet means to you. 

Indicate the length of time this pet might be left alone. Include the surroundings that the pet will
be left in while you are gone (eg. outside in fenced back yard, kenneled, run of the house).
  

Tell me about other family members in the home, children, parents, etc., be sure to indicate ages
of children and some family activities (eg.  Johnny is 13 and is much involved in sports, his favorite is hockey.)

Do you have other pets in your home?
Dog or Cat, Breed Age Sex Spayed/ Neutered Up-to-date Vaccines
M F
M F
M F
M F
More?  Yes   No (If you have indicate yes here, please give some details in comments section at the bottom of the page.)

If you have ever taken in a rescue before, indicate with what organization and describe the experience.

Indicate any experience you have had in training animals (ie. House training, basic commands, etc...).

If you would be willing to support a rescue with special needs indicate if you have had past experience in
supporting a special needs pet.  Indicate what the special needs were.  Also, indicate what special needs
you would be willing to take on.

What made you decide that a Pomeranian was right for you?

What age group of pet are you looking for?
  “Puppy “ (<5 months )
  “Adolescent”  (5 – 15 months )
  “Adult”  (> 15 months )  
Describe some issues that you think you might have to deal with in being a guardian to the age group of pet indicated.

 
Are you willing to spay or neuter your pet?         Yes  No
Do you intend to spay or neuter this pet?           Yes  No
           
Do you have a regular vet?       Yes  No
Name and Location of Vet:
City  State Zip
Would you be shipping or picking up this pet?       Shipping  Picking up
If you are considering having this pet shipped please refer to our terms page for the ground shipping information.

Other information you wish us to know.

Are there questions and/or concerns that we can help you understand?

Completing this application is your agreement to the  terms outlined in our "Pricing Policy, Deposits and Terms of Purchase" page.  You will be contacted for more information, and with information on puppy availability, after the completion of the application.

Clicking this Submit button is your signature that all of the above is true.

  

 

 

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