New Zion Shilohs - Breeding Better Shepherds Since 1962.
New Zion Shilohs
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Puppy Application
This Pre-Adoption form asks questions to help you and New Zion Shilohs decided if a Shiloh Shepherd is the right breed for you. We will gladly help you to select the right puppy for your family. We have been observing the puppy's behavior, personality and temperament. The information on this form helps us get to know a little a bit about you. We urge you to be very honest with us about yourself and your home life, as these puppies rely on us to find suitable homes for them. One puppy may be perfect in a busy household, while another may panic and need a quiet home. Shiloh Shepherd puppies truly have a variety of personalities, and we use an intense LER (Litter Evaluation Report) testing in order to properly evaluate them.
Please take your time answering the following questions: select the applicable reply on the appropriate lines and answer all the questions with as much information as possible. If you need more room, please use the comment section at the bottom of the page (just make sure you put the number next to your answer). The more information you provide, the better we will be able to serve you.
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Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone
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Cell Phone
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Email
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Best way and time to be reached
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In What Type Of Housing Do You Reside?
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House
Apartment
Condo
Duplex
If Other Please Explain
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Where Do You Live?
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In Town
In The Country
In The City
If Other Please Explain
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Do You
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Rent
Own
If Other Please Explain
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If You Rent Does Your Landlord Permit Dogs?
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Yes
No
N/A
Would you permit us to contact your landlord?
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Yes
No
N/A
If So Landlord's Name and Phone Number
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Do You Have A Fenced In Yard?
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Yes
No
If Yes Height?
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What Type Of Fence?
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If No Are You Willing To Walk Your Dog Everyday For Necessary Functions?
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Please Tell Me How Many Adults And Children (Ages Too Please) There Are In Your Household?
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How Many Other Animals Do You Own And What Types? Please List Any Behavioral Problem Your Pets May Have
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How Many Dogs Have You Owed In The Past? What Happened To Those Dogs?
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Does Anyone In The Household Have Allergies?
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Yes
No
If So Type And Severity?
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Do You Expect To Have Children?
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Yes
No
N/A
In Your Household Do You Have Anyone Who Is Elderly,Handicapped Or Special Needs?
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Yes
No
N/A
If Yes Please Explain
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I Am Interested In:
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A Pet And Plan To Spay And Neuter
A Pet And Plan To Keep Intact
Breeding
Would Like To Show
I Am Interested In Training My Dog In:
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Obedience
Agility
Search And Rescue
Herding
Therapy
Service Work
Rally-O
Other
If Other Please Explain
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My Dog Will Spend Most Of His/Her Time:
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In The House
In A Fenced Yard
In A Kennel Run
On A Chain
Running Loose
Other
If Other Please Explain
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The Temperament I Expect From My Dog, As Per The Following; The Mailman Knocks At The Door With A Package Delivery, I Want My Dog Too:
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Bark And Make Friends
Bark And Not Make Friends
Bark And Chew Him Up
Other
If Other Please Explain
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I Would Like A
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Male
Female
I Want A:
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Plush
Smooth
I Would Like A:
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Sable
Dual
Bi-Colored
White
Black
Which Family Member Will Have The Major Responsibility Of The Dog?
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How Many Hours A Day Will The Dog Be Left Alone?
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Are You Willng To Crate Train Your Puppy?
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Yes
No
Do You Agree To Return Your Shiloh If You Can Not Keep Him/Her?
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Yes
No
Are You Willing To Keep Your Dog Up To Date On All Shots,Worming Screen For Heartworm And Use Preventatives?
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Yes
No
Will You Keep Your Dog Licensed And Properly Identified At All Times?
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Yes
No
Are You Willing To Microchip Your Puppy?
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Yes
No
Are You Willing To Have Your Dog Seen By A Vet At Least Once A Year?
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Yes
No
Not Sure
Are You WIlling To Do All Health Testing We Reccomend?
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Yes
No
Not Sure
Are You Willing To Send Us Reports On Your Dogs Health For Our Reccords?
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Yes
No
Not Sure
Are You Willing To Send Us Pictures Twice A Year For Our Reccords?
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Yes
No
Not Sure
Do You Have A Current Vet?
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Yes
No
If Yes Has Your Vet Ever Seen Shilohs?
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Yes
No
Not Sure
If No Are They Willing To Learn About Them?
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Yes
No
Not Sure
If No, Do You Want Help To Find One That Knows Or Will Learn About Them?
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Yes
No
Not Sure
If You Do Have A Vet, What Is There Name And Number?
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Do We Have Permission To Contact Them?
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Yes
No
Not Sure
Not Yet
How Are You Planning On Getting Your Puppy?
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Pick Up
Shipping (Air Travel)
Ground Transport
Not Sure
If Shipping Are You Willing To Pay The Additional $500 Fee?
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Yes
No
Not Sure
N/A
If Shipping Please List The Closest Airport To You.
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What Type Of Household Do You Have?
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Busy
Quiet
Other
If Other Please Explain
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How do you spend most of your free time?
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What characteristics are you looking for in your new puppy?
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Are you willing to take your puppy to training class?
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Yes
No
Not Sure
What time frame are you looking at getting your puppy in?
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What litters are you interested in?
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Please list 3 references (2 if you have a current Veterinarian). Please include complete name, address, and telephone number.
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Please give us any more information you thing we should know about in order to help you pick your new family member.
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By checking this box you are agreeing that you understand the following:
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If you decide to purchase a puppy from us, you fully understand that a deposit of $500 is placed to hold a puppy for you. Deposits are Non-Refundable if you decide to back out for any reason. However, your deposit can be put towards a puppy in any of our litters we might have in the future. The $500 is part of the total price. New Zion Shilohs does not give cash refunds on deposits or prepayments.
By signing this application, I (we) authorize the Veterinarian listed on this application to release information to New Zion Shilohs.
Applicant's Signature & Date:
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*Your application will be reviewed over the next 48 hrs. If you do not hear back from us please
email
or call 585-749-1117 to make sure we received your application. We have had some problems receiving submitted applications from our website.
Submit