Safari Schipperkes Adoption Inquiry

Name:
Spouse's Name:
Address:
City:      State:       Zip:
Home Phone:

Work Phone:
E-Mail Address:

 

Occupation:

Spouse's Occupation:

Ages of Children at home:

Please list all other pets you currently own.

If you have owned a Schipperke before, please tell us about them.

If your Schipperke has passed away, please tell us what happened.

If you have not owned a Schipperke before, what made you choose this breed?

Do you live in a house or an apartment?
Because Schipperkes must be socialized young, we require you to attend one basic obedience class to help ensure a well adjusted family pet.  Any concerns about training? 
Schipperkes are a high energy breed and YES they do shed.  Do you feel your family is prepared to handle both of these situations? 
 Would you be willing to fly out or drive out to pick up your puppy? We will ship via Delta or American Airlines, however we prefer you to fly or drive out.
Do you have a securely fenced and gated yard? Yes     No
What type of fence? 
Where will the schipperke spend most of their days? 
We require a reference from your veterinarian.  Please provide his/her name, address and phone number. 
We require two personal references.  Please provide names, addresses, phone numbers, and if available email addresses, for two people who will tell us about your suitability as a puppy parent. 
How will your Schip spend the majority of its days?
We typically stay in touch with the families who adopt puppies from us over the entire lifetime of the dog.  We look forward to getting to know you and sharing Schipperke stories!  
Do you understand that if the adoption does not work out, you must return your
schipperke back us? Yes      No
Do you understand that Safari Schipperkes requires all pets to be spayed/neutered?  Yes     No
Do you agree to license this dog and give regular health care?  Yes     No
Do you agree to contact Safari Schipperkes if you can no longer keep the dog?  Yes     No
Are you willing to allow a representative of Safari Schipperkes to visit your home by appointment?

  Yes     No

Preference:  Male   Female        Age    
If you have marked a preference, would you be willing to consider a suitable dog of a different   Age  Sex

All of the information I have given above is true and complete. I understand that should an animal become available for adoption, I will be asked to sign a legal Contract regarding said adoption. I will provide the animal with a secure ID tag for identification purposes which will be worn at all times. I will obey any and all animal control regulations governing the area in which I live and to license this dog according to such regulations within one month of adoption. I agree not to sell, trade, transfer ownership, abandon or dispose of this dog in any way, but to notify Safari Schipperkes if I must relinquish custody of the dog. This includes release to family members. I agree to keep this dog as my household pet and companion an be sure dog is in a secured area when unattended. The dog will not be allowed to roam free at any time. I agree to never chain or tie this dog unattended. In accordance with common sense, I agree never to allow this dog to be transported in the open bed of a pickup truck or similar vehicle.

Questions or Comments: