City, State, Zip:
Best time to reach you:
Phone Numbers (Home/Work/Cell):
When were you looking to acquire a puppy?
Do you prefer a male or female puppy?
How do you plan to get your puppy? We are located in Central
VA and do not ship.
Cabin" with my puppy
Have you ever owned and American Eskimo Before?
If not, have you ever owned a dog before?
If so, what kind?
Do you still have it?
If not, what happened to it? Please be specific:
How long has it been since you have trained a puppy?
Why have you decided to purchase an American Eskimo?
What type of research have you done on the American
For what purpose are you purchasing this puppy?
Are there other animals in the home? (please describe)
How long will your puppy be left alone during the day while
you are at work?
Number of Adults in the home:
Number of children in the home:
Please list names and ages of children:
If no children, are there plans for a family in the
Are ALL family members in agreement on acquiring an American
Do any family members have allergies to or a fear of
Who will be the primary caretaker?
Is this person aware of the time and energy needed to care for
a young puppy and willing and able to accept that
Will the cost of raising and caring for this puppy fit
comfortably into your budget?(Initial puppy vaccinations, monthly
heartworm medication, annual booster vaccinations, crate, bedding,
food, toys, grooming products, flea & tick control,
Are you committed to caring for this dog for his/her lifetime?
(Average life span is 13-15 years).
Do you own or rent?
Please describe your home and property:
Please describe a typical weekday in your life (work schedule,
Please describe a typical weekend:
Where will your puppy be staying during the day? At night?
While you are away from home?
What type of outdoor facilities do you have? Securely fenced
yard, kennel run, invisible fence, doghouse or other adequate
Do you padlock your gates (if applicable)?
Do you plan to use a crate for housebreaking?
If not, what other method do you plan to use?
Have you looked into Puppy Kindergarten/Basic Obedience
programs in your area?
Are you willing to obedience train this dog through training
classes in order that he/she will become an enjoyable companion and
canine good citizen?
Do you have any experience in any of the following areas?
training, showing, breeding, pet therapy work, agility, other? (Please
describe, including any titles or achievements earned, number of
litters whelped or just general information about other dogs you have
Our puppies, which are sold as family pets, require a
spay/neuter contract. AKC papers will be given on a Limited
Registration. UKC papers will not be released until a copy of the
spay/neuter certificate from a licensed veterinarian is provided. No
exception. Is this acceptable to you?
Last, but not least, please describe what type of personality
you are looking for in your American Eskimo (as an adult dog) and the
type of family enviornment in which he/she will be living:
Please list at least 2 references and provide the name and
address of your Veterinarian:
This box is for any additional information you want to share
with us or any questions you may have for us.