Heart-Throbs Adoption Form

Name
Spouse's Name
Address
City	State      Zip
Home Phone		Work Phone
E-Mail

 

Occupation and Working Hours
Spouse's Occupation and Working Hours
Ages of Children at home and sexes
Please list all other pets you own
Have you ever owned a Schipperke before, please tell us about them

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

Do you live in a house or an apartment

Do you have a securely fenced yard or a place where you can exercise your dog Yes     No

We require three letters of reference one may be from your veterinarian.  Please provide names, addresses, phone numbers and email addresses where available

Where will your Schipperke be living in the house with you or outside

We keep in touch with the families who adopt puppies of dogs from us over the entire lifetime of the dog.

You understand that if the adoption does not work out you must return your schipperke back to Heart-Throbs Yes      No

Do you understand that Heart-Throbs Schipperkes requires all pets to be spayed or neutered  Yes     No

Do you agree to license this dog and give regular health care and keep the dog on heartworm preventative  Yes     No

We do accept non-refundable deposits to hold puppies or dogs are you willing to make a deposit to guarantee your puppy  Yes     No

Are you willing to allow a representative of  Heart-Throbs Schipperkes visit your home   Yes     No

Preference:  Male   Female        Age --------------------- Any Age Puppy Young Adult Retired/Older Dog    

Questions or Comments: