Application form – SaeSi Kennels

Name *

Street Address (with city/state/zip): *

Cell Phone Number *

Email *

How many household members? Do all adults work outside the home, list work hours: *

How many hours a day will the dog be left alone? *

Number of children at home or that visit frequently, and ages: *

Do you rent or own? A house, apartment, condo, other *

If you rent, provide landlord's name & contact number so we can verify if pets are allowed:

How long at present address and do you plan to move in the next 6 months: *

Is your yard fenced? *

Provide type and height of fence for your yard and how gates are secured (latches, locks): *

Have you previously, or do you currently own a whippet? *

Yes
No

If so, please tell us about him/her/them:

Do all members of the family favor this type of dog? *

Yes
No

Have you ever taken a pet to a shelter/pound/rescue *

If so, what were the circumstances that lead you to do so:

List all pets currently at home as well as owned in the past ten years. Include small caged pets and barnyard animals: Type of animal (list breed of dogs) /Age /Sex Spayed or Neutered /Kept In or Out /How long owned (for past pets, please list what happened to the pet) *

What are your reasons for wanting to add a whippet to your family? *

What are you expecting of this Whippet? (check all that apply) *

Temperament preferred? (check all that apply) (copy) *

I would like my new dog to get along with: *

Does any member of the household have pet allergies? *

Are you financially able to care for this dog should it become seriously ill or require surgery? *

What arrangements will you make when you go on vacation? *

Do you crate your dogs while at work or allow them to be loose? *

Where will the dog be kept at night? *

Have you ever crate trained a dog? *

Do you have objections of using a crate for your dogs safety? *

Are you agreeable to returning the Whippet, should unforeseen circumstances arise wherein you would no longer be able to keep the dog? *

Would you be willing for me, or a friend of mine, to visit your home? *

Please give 2 personal references: Name/phone/years known/relationship/ *

Please list the name of the last three vets (noting the current vet) that you have used including phone number and street address: *