Name:
Address:
City, State, Zip:
Phone numbers (home/work):
Best time and place to reach you: 
Email address:
Occupation:
Do you prefer a male or female?    
Have you ever owned a dog before?   
If so, what kind? If a mixed breed, what size was the dog?
Do you still have it?   
If not, what happened to it?
Why have you decided to purchase an American Eskimo?
For what purpose are you purchasing this puppy? (family pet, companion? 
Are there other animals in the home?  
(Please describe)

Number of family members � 
Adults:        
Children (please list ages):

(Children six and under can have a very difficult time with small puppies.
A parent or sitter will have to be constantly vigilant during the early
stages of socialization. Children are unable to command respect and the
puppy must be taught to behave around each younger child. Children must
also be taught how to handle and behave around a young puppy. This takes
additional time and energy. If you have children in this age range,
be sure you have plenty of extra time to work with pup and child(ren).
Young children should NEVER be left unattended with the puppy.) 

Are ALL family members in agreement on getting an American Eskimo puppy?   
Do any family members have allergies to or fear of dogs?   
What leisure activities and hobbies do you and other family members
enjoy?
Who will be the primary caretaker?
Is this person aware of the time and energy needed to care for a young
puppy and willing and able to accept that responsibility?   
Will the cost of raising and caring for this puppy fit comfortably
into your budget? (Initial puppy shots, monthly heartworm medication,
annual booster vaccinations, crate, bedding, food, toys, grooming
products, spaying or neutering).   
Are you committed to caring for this dog for his/her lifetime? (Average
life span is 15 yrs.)
   
Do you own or rent? House, condo, apartment, other? Rural, suburban or
urban area?
Where will your puppy be staying during the day? At night? While you are
away from home?
What type of outdoor facilities do you have? Securely fenced yard,
kennel run. Invisible fence. Dog house or other adequate shelter from
the elements? (Invisible fencing will keep your dog in, but will not
keep other dogs out.) 
Do you padlock your gates (If applicable)?   
Do you plan to use a crate for housebreaking?   
If not, what other method do you plan to use?

Are you willing to obedience train this dog through training classes
in order that he/she will become an enjoyable companion and canine good citizen?   
Do you have experience in any of the following areas?
training, showing, breeding, pet therapy work, agility, other.
(Please describe, including any titles or achievements earned, number of litters whelped
or just general information about other dogs you have owned?


"All puppies sold as companion dogs require a mandatory spay/neuter
contract. No exceptions. AKC and UKC registrations papers will be
sent to you after the companion dogs have been spayed or neutered.
Puppies sold for show will go with AKC and UKC registration papers."

Have you ever euthanized a dog?   
If so, for what reason?
Last, but not least, please describe what type of personality you are
looking for in your American Eskimo (as an adult dog) and the type
of family environment in which he/she will be living: 
Please list at least 2 references and the name and address of your veterinarian: 


Please use this field for additional information or comments that you
feel are important.