E-mail Address: *
Name *
Address *
Phone number ~ Home and/or Cell *
Todays Date *
Email Address *
Number of adults in the household, how are is everyone? *
Number if children in the household, and how old are they? *
Is everyone in the household in agreement with adding a whippet to the home? *
Do you own or rent? *
What type of dwelling do you live in? *
Do you have a fenced in yard? How tall is your fence? *
How large is the area that is fenced? *
Are you interested in a puppy or an adult? What age and why? *
Are you looking for a male or female? and why? *
Do you have a dog(s) living with you at this time? If so, have they ever been introduced to another dog before? Please tell me how this went. *
Please list any dogs you have had in the past and the reasons you no longer have them. *
List any animals that you currently own. Livestock and caged animals as well. *
Have you researched the whippet breed? If so, please tell me a little about what you found out. *
Have you ever owned a whippet or a sighthound before? *
What all would you like to do with your whippet? Check all that apply. *Companion
Conformation
Lure Coursing
Racing
Obedience
Agility
Flyball
What all will your whippet need to get along with? Check all that apply. *Men
Woman
Children
Cats
Dogs
Livestock
Small caged animals
Where will your whippet spend most of his/her time? Check all that apply. *Crate
Loose in the house
With you wherever you go
Outside
When you are not home, where do you plan on keeping your whippet? *
Where will your whippet sleep at night? *
What will happen to your whippet if you have to move? *
What do you plan to do when your whippet needs to be exercised? Please Explain. *
Do you plan to spay/nueter your whippet? If not, please explain why? *
If for any reason you canNOT keep your whippet, do you agree to send this dog back to us? *
What made you interested in the whippet breed? *
Do you have any issue with a contract? *
If for some reason we cannot help you do we have your permission to send your name and email to a breeder we feel may be able to help? *
Please list the names, phone #s and email address of at least 3 references. *
Please list any other information that you feel could help is get to know you better. *

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