New Family Application (MUST COPY AND PASTE INTO EMAIL OR PDF)

"Properly trained, a man can be dog’s best friend." -Corey Ford

Placing a puppy into a family is one of the last steps we take in the bringing of happy, healthy canines into the world. Years of hard work have brought us to the place of being able to offer this puppy or litter for placement. We believe that each family that would be considered as a forever home for our puppies should be aware of the continued commitment that such a pup requires.
Please fill out the information listed below and return it for our consideration. This information allows us to get to know you as we work towards potential placement and is considered a critical element to finding the perfect puppy for your home.                

The information you share is voluntary and will not be disclosed to third parties. Please include photos if possible.

Thank you,    Charles and Christy Mikula.

PUPPY PREFERENCES

1.     I would like a: ______Male ______Female ______Not bias    

            Please tell us why you prefer this________________________________________________________________________________

2.     Keeping in mind that the Mikula’s do not place puppies based on color. The look I prefer in a pup including color would be:_______________________________________________________________________________________________________

3.     Please describe the temperament you would like in a pup:______________________________________________________________________________________________________

4.     Is there a date you have in mind to get a puppy? (Keep in mind that we do work with clients in order of puppy availability.)

__________________________________________________________________________________________________________

5.     If you need the puppy shipped which airport would you use? __________________________________________________________________________________________________________

6.     Our pups are priced at different points depending on pedigree, etc.  Is there a price range/point you desire?       

7.     Are you willing to raise a puppy/dog with an abnormality or birth defect?

YOUR EXPERIENCE WITH DOGS

1.     Have you worked with a breeder in the past?   

             How would you describe your experience.________________________________________________________________________

2.     Please explain how these pets joined and left your life (list breed and species):

                Current dogs:______________________________________________________________________________________________

                Recent Dogs:_______________________________________________________________________________________________

                Other animals? ___yes ___no      If yes, please describe_________________________________________________________________

MEDICAL NEEDS

1.     Do you have a regular vet? ___yes ___no           Would you mind if I contacted them? ___yes ___no      

Name and Phone______________________________________________________________________________________________

2.     How would you describe your relationship with this vet_________________________________________________________________

3.     Do you understand that dogs are vulnerable to illness regardless of the quality?_______________________________________________

4.     Are you prepared to manage the health care costs of a dog including preventative and curative?___________________________________

5.     I believe

________a pure breed dog will not have serious health setbacks                            ________I would exhaust my resources to help him/her

________I would do my best within reasonable means                                             ________the breeder should help off-set the costs

THE ENVIROMENT YOU HAVE TO RAISE THIS PUPPY

Do you own____ or rent ____your home?                              

Size of living space:  Indoor:___________________Outdoor______________          

What type of floors puppy will live on:____________________________________________________________________________________       

My outdoors are:     

Fenced:   YES  NO          Acreage__________        CIRCLE ONE:           Subdivision              Farm/Ranch/Rural                Shared         

Will this puppy be primarily ________indoor _________outdoor

Where will this puppy sleep?___________________________________________________________________________________________

HOW YOU WILL EFFECT THIS PUPPY’S LIFE

How many hours a day will you have for puppy?____________________________________________________________________________

How often will you/do you walk your dog?________________________________________________________________________________

Who will be the primary training / care giver for the puppy? ___________________________________________________________________

How do you plan on house and obedience training your puppy? _________________________________________________________________________________________________________________

Is there a lifestyle or activities you would like a dog to fit into?_________________________________________________________________________________________________________________

What will be puppy’s form of exercise: IE yard, walks, travel? _________________________________________________________________________________________________________________

Why is this the time for you to get a puppy?_________________________________________________________________________________________________________________

Why are your considering us for your next companion? _________________________________________________________________________________________________________________

Why are you choosing a breeder rather than a rescue dog?____________________________________________________________________

Where did you hear about us?__________________________________________________________________________________________

In your home, this dog will be:  

  _________ A PET FOR THE FAMILY/KIDS              _________FOR SERVICE/THERAPY WORK                                            ____________I HAVE INTEREST IN SHOWING

 _________  FOR HUNTING                                          _________MY PRIMARY SOURCE OF UNCONDITIONAL LOVE     ____________i HAVE INTEREST IN BREEDING   

In regards to raising a puppy and loving a dog:

A.Please list your three strengths

 _________________________________________________________________________________________________________________

B.  Please list three weaknesses:

__________________________________________________________________________________________________________________

2.  Is there an interesting fact you would like to share about you/your family?__________________________________________________________________________________________________________________

3.  Do you have any specific needs or concerns? _____________________________________________________________________________

PLEASE LIST ANY ADDITIONAL REQUESTS OR QUESTIONS BELOW THIS SPACE:

THIS APPLICATION IS UNIQUE TO KINSHIP COMPANIONS; IT IS NOT AVAILABLE FOR REPRINT/USE. PLAGIARISM WILL NOT BE TOLERATED