Forms
Success Puppy/Dog Application
| ||||||||
| ||||||||
| ||||||||
| ||||||||
Print this application and email or snail mail to us. Thank you.
www.successcsp.com |
Success CSP & PWD |
QUESTIONNAIRE
Please complete and return the following questionnaire. This will assist us in the selection of an appropriate puppy for you and your family.
Name:
Address:
City: State:
Zip: E-Mail:
Phone: FAX:
How many people are in your household?
Do you have children? Y / N
If yes, what are their ages?
Does every family member want a dog?
If not, please explain:
Who will be responsible for caring for the dog and what is their general home/work schedule?
What made you decide to get a dog, and particularly, a Chinese Shar Pei or a Portuguese Water Dog? ______
For what purpose are you purchasing a CSP or PWD? (Check all that apply to you)
Family pet Obedience Training Show Breeding
Therapy Dog Agility Water work
Other
Do you have experience in raising and training a puppy?
Do you currently have dogs in your household? Y / N
If yes, please explain:
Do you have them professionally groomed, or do you groom them yourself?
Do you have any special concerns about CSPs or PWDs? _____________________________________________________________________
What facilities do you have for your dog?
Is your yard fenced?
What is the approximate size of your yard? _________________________________________
Where will you keep the puppy? Inside / Outside
Do you own a crate? ________________ Size
Do you understand the financial commitment involved in having a pet, other than the original cost of the dog? (Veterinarian cost, quality food, regular grooming) ____________
Are you willing to spay/neuter this dog? (if no state why please) _________________________________________________________
Are you interested in a puppy or a young adult? Puppy Young adult
Do you want a male or a female? Male Female No Preference
Would you prefer a PWD wavy or curly coat? Wavy Curly No Preference
Would you prefer a CSP horse or brush coat? Horse_____ Brush______ No Preference____
What coat color do you prefer?___________________________________________________
You would like a puppy/adult as of what date? ____________