Puppy Application

Suwannee Sunset Shibas

Please complete the fields below and we will contact you soon.

About You

Please tell us a little bit about yourself and your family and how to contact you.
Your Name * First Last
Email *

your contact email
Marital Status *
Name of Spouse/Cohabitant First Last
Your Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Primary Phone * - (###) - ### ####
Alternate Phone - (###) - ### ####
Best Time To Reach You *
Occupation *
Work Schedule *
List Children and Their Ages *

If no children, please enter "n/a"
Other Residents *

Please list other people living in your home. EG: extended family, etc. If none, enter "n/a".
List Other Pets *

Please include age, type, sex, and whether spayed/neutered
About Your Home

Please give us some information about your residence.
Do You Rent or Own Your Residence? * Rent Own
Does Your Lease Allow Pets? * Yes No N/A
If you own, please select "n/a"
Type Of Residence *
Type Of Yard *
Your Ideal Puppy

Please tell us what you're looking for.
What Type of Dog Are You Looking For? * Companion Show Agility Working Breeding Stock Specialty
Check all that apply
What Sex Puppy Are You Interested In? * Male Female Undecided No Preference
Have you read the Breed Information provided by Suwannee Sunset Shibas? * Yes No
What characteristics attracted you to the breed? *

Please briefly describe what it is about Shibas that makes them a desirable companion to you.