| E-mail Address: * | |
| Full Name * | |
| Home Address * | |
| State & Zip Code * | |
| Phone #(s) * | |
| Number of adults in the household and ages * | |
| Number of children in the household and ages * | |
| Are all members of the household in agreement with adding a Whippet to the family * | |
| Type of dwelling * |
House Apartment Townhouse Duplex Other |
| Do you own or rent * | |
| Do you have a fenced yard - if so, how big and what type of fence * | |
| Are you looking for a puppy or adult, what age and why * | |
| Male, female, either and why * | |
| List all animals residing with you, including small caged animals & livestock * | |
| If you have a dog or dogs in residence, has it been introduced to other dogs and/or puppies - tell us about the experience * | |
| Have you owned a Whippet or Sighthound before * | |
| Have you researched Whippets and where did you get your information from * | |
| What do you want your Whippet to be or do * |
Housepet Breeder Racing Lure Coursing Show Dog Obedience Agility Therapy Flyball Dog Other |
| What will your Whippet need to get along with * |
Other Dogs Cats Birds Caged Animals Livestock Men Women Children Other |
| Where will your Whippet spend most of its time when someone is home * | |
| Where will your Whippet sleep at night * | |
| How do you plan to exercise your Whippet * | |
| What attracted you to this breed * | |
| Will someone be home during the day * | |
| If not, how long will your Whippet be left alone during the day * | |
| Where will your Whippet be when someone is not at home * | |
| Where will your Whippet be while you are out of town * | |
| What would happen to your Whippet if you moved * | |
| If you do not plan to show your Whippet, do yo plan to spay/neuter * | |
| If for ANY reason you cant keep your Whippet, do you plan on returning him/her to the breeder * | |
| Do you have any issues with a contract * | |
| List names, email addresses and phone numbers for several references * | |
| If we can not help you in your search, can we send your application to other breeders * | |
| Any other information you would like to add * | |

|
| |
| * Required | Create Email Forms |