NorthFork Samoyeds                

 

                                                                    Hollie Eller

                                                                  Po Box 1519

                                                                Orofino,ID 83544                                                   

                                                                  (208)476‑0221

 

 

 

 

POTENTIAL PUPPY/DOG CLIENT INFORMATION

 

Thank you for your interest in our dogs.  We would appreciate your answering the following questions so that we can more easily test and select the right puppy/dog for you.  All information is confidential.  Thank you for your cooperation and help in answering our questions.  (If no phone number is given this application shall be ignored).

 

Name: _________________________________________________________________

Address: __________________________      City: ______________________________

State: _____     Zip: ________ Phone: ______________         Work: _________________

Kennel Name: _______________________________________

E‑mail Address: ______________________________________

Website Address: ____________________________________

Do you own any other samoyed Male / Female? _____________________________

If yes, how many? _______      Are they altered or intact? ______________________

Where did you acquire it (them)? _________________________________________

__________________________________________________________________

__________________________________________________________________

 

If you have never owned an Samoyed, why do you want one now? _______________

__________________________________________________________________

 

What types of research have you done on the Samoyed? ________________________

___________________________________________________________________

 

What are you looking for in an Samoyed?  Show Quality or Companionship? ___________________________________________________________________

Do you prefer a male or female? __________________________________________

Please specify above: Male ‑ Female or No Preference

 

 

What specific traits do you want in an Samoyed? ___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

 

Do you intend to breed this Samoyed? ______________________________________

 

What type of dwelling do you live in? _______________________________________

Please specify‑ House, Condo, Apartment, or Mobile Home or other.

 

Do you own or rent your residence? ________________________________________

 

If you rent, does your landlord approve of a Samoyed?  Or if you own do you have an association in your neighborhood and do they have any issues with Samoyeds? ____________________________________________________________________

____________________________________________________________________

 

7.  Do you have children?  If yes, how many and their ages? _______________________

____________________________________________________________________

 

8.  Do you have any other pets?  If yes, what types/breeds? _______________________

_____________________________________________________________________

 

9.  Have you ever returned an animal from where you purchased or acquired it?  What was the reason, if yes? _______________________________________________________________________

_______________________________________________________________________

 

Do you have a fenced dog run or yard?  How tall is the fence? What are the dimensions of the run? ___________________________________________________________________________________

___________________________________________________________________________________

Please provide photos of your house, (with address clearly visible on the front of house) yard, fence and dog area.

 

Where will your Samoyed spend its time?  Outside, inside the home, a run, or crate, etc.? ___________________________________________________________________________________

___________________________________________________________________________________

 

If you live in a state that experiences extreme summer or winter weather conditions, what type of means do you have to care for your Samoyeds in these conditions? ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

How many hours on the average will the puppy be left alone? _________________________

 

Will you allow an in home visit by Northfork Samoyeds or by a representative for Northfork Samoyeds, before placement of a puppy? ______________________________________________________

________________________________________________________________________

 

Are you interested in competing in performance events such as obedience, agility, tracking, hunting and herding, etc.? ___________________________________________________________________

________________________________________________________________________

 

Are you willing and able to attend any training classes with your Samoyed? If yes, at what age will you start? ________________________________________________________________________

________________________________________________________________________

 

Have you ever bred a litter of dogs?  If yes, what kind and how many? ________________________________________________________________________

 

 

Mail back this signed application to Northfork Samoyeds

also be sure to provide us with pictures of your yard, home and fencing.

 

Signature: _______________________________________  Date: ____________

 

Signature: _______________________________________  Date: ____________

 

Please use the back to add any other information you wish us to consider in placing one of our Samoyeds with you.  We would appreciate it if you would give us a little insight into the expectations you may have for this new addition to your family.  Thank you again your interest, it is deeply appreciated.

 

Hollie Eller