Name
Address
City, State
E-mail
Evening Tel
Best time to reach you
Occupation

General Info

How did you find/ learn about our website?	Please Select One AKC National Breeder Referral Met you at a dog show Business card Referred by another breeder PuppySites.com QualityDogs.com DogBreedz.com Breeders.net (Other)
If thru another breeder, name of breeder If other, please be specific
When were you looking to acquire a puppy?
How much do you expect to pay for a puppy?	Please Select One $500-800 $900-1200 $1300-1500 $1600-2000
Which variety are you interested in?	Please Select One Standard -- 14-19 inches Miniature -- 11-15 inches Toy (AKC recognized only variety) -- 9 - 12 inches
The American Eskimo comes in three varieties, which is determined by height at the withers (shoulders).  Click HERE to see an illustration of this.	The height ranges given above are listed to cover the height standards for UKC and AKC.  These registries have different height standards for the appropriate variety listed.
(Wachusett American Eskimos only owns and breeds the Standard variety) (We do not own or breed any Toy or Miniatures or any other breeds.)

Family Info

Age of person submitting this form
Number of other adults in your household (over the age of 18)
If you do not currently have any children, are you planning to start a family	Please Select One Yes No Our children are grown We have children under the age of 7 visit.
Ages/Gender of children who will be interacting with the puppy/dog.
Does anyone in your family have allergies to dogs?	Please Select One Yes No
Has any in your family been bitten by a dog? Please explain the circumstances under which this occurred.
Please describe a typical weekday in your life (work schedule, etc.)
What type of weekend activities do you do? i.e.,  soccer games, hiking, canoeing, skiing, etc.

Residence Info

Details of your family's residence:	<Please Select One> Suburb/House Suburb/Apartment City/House City/Apartment Country/less than 1 acre Country/more than 1 acre, but less than 5 Condo/Townhouse Detached condo/Townhouse Mobile Home
Use this space if you wish to elaborate on your residence.

Dog Experience/Ownership Section

Why have you decided to purchase an American Eskimo?
Is this your first dog? If yes, please select "yes" then, click HERE to jump to the next relative section.	Please Select One Yes No
If this is NOT your first dog:
Do/Have you ever owned an American Eskimo?  If yes, please, please select "yes" then, click HERE to jump to the next relative section.	<Please Select One> Yes No
If this is your first American Eskimo, but NOT your first dog, what breed(s) have you owned or currently own?
Do you still have this(ese) dogs?	<Please Select One> Yes No
Do you have any other pets?	<Please Select One> Yes No
Please list in the case of dogs/cats, the following: Breed Age Gender Spayed/Neutered
What research have you done in determining that the AED is the breed for you?
Click HERE to skip to go to next relative section.

Past or Current AED Owner Section
Past or Current AED Owner Section

You've indicated that you either have owned or own an American Eskimo...
From whom did you purchase it (breeder's name/kennel name/pet store)
What variety(ies) do/have you owned?
Click HERE to skip to go to next relative section.

New Dog Ownership Section
New Dog Ownership Section

So this is your first dog....
What type of research have you done on the American Eskimo?
Are you committed to caring for this dog for his/her lifetime?  (Average lifespan is 15 years)	<Please Select One> Yes No
Do you have any other pets and how many? (i.e., cat, birds, hamster, gerbils) (no need to list fish)

Dog Training/Other Experience
Dog Training/Other Experience

Do you plan to take your dog/ puppy to Puppy Kindergarten/Basic Canine Obedience?	<Please Select One> Yes No
Have you looked into Puppy Kindergarten/Basic Obedience programs in your area other than chain store training classes.	<Please Select One> Yes No
Are you willing to take this dog to Puppy Kindergarten and Canine Obedience training classes in order that he/she will become an enjoyable companion and canine good citizen?	<Please Select One> Yes No
Do you have experience in any of the following  (training) areas?	Obedience   Showing (Conformation)   Agility   Pet Therapy   Breeding   --->  How many litters?     Other
Have you put any titles on your dog(s)? and if so, what kind? (AKC, UKC, CKC (Canadian Kennel Club)
Check all that apply when it comes to your past puppy/dog training experience:	I personally trained my dog   I hired a personal trainer  I took my puppy to puppy kindergarten   I went beyond puppy kindergarten   I take/en conformation handling classes   I do obedience training (AKC/UKC, Other)   I do agility training (AKC/UKC, Other)   I don't believe in structured training   I have put CGC title(s) on my dog(s)   None, this would be my first dog
How long has it been since you've trained a puppy?
Will you be crate training this puppy?	<Please Select One> Yes No I don't know
Did/Do you have any problems (health, training, behavior, etc.) with current/previous dogs (please be specific)

Containment/Shelter

What type of outdoor facilities do you have?     (*Hidden fencing will keep your dog in, but will not keep other dogs / predators out.) * DogWatch (TM) or Invisible Fence (c)	Kennel run (existing)   Kennel run (will install)   Fenced yard (existing)   Fenced yard (will install)   Hidden Fence (existing)   Hidden Fence (will install)   Tether/chain/rope   Housedog - out on Leash only   No restraint - my dog can run loose   Shelter - Dog House   Other type of shelter
When traveling in a moving vehicle, how or will this dog be contained, and if so, how?

Preferences

What gender are you interested in: Why?	<Please Select One> Male Female Doesn't matter
If gender is not available, will you accept a puppy of the opposite gender?:	<Please Select One> Yes No I'll wait
Would you consider an older puppy or an adult dog?	<Please Select One> Yes No Possibly
If yes or possibly, what is the maximum age you would consider?
Sometimes we hear of breeders looking to place older/ retired show dogs, is this a possible option?	<Please Select One> Yes No Possibly

Puppy Caregiving

Who is going to be the primary caregiver?	<Please Select One> Mom Dad Child over the age of 12 Child under the age of 12 All will share the responsibility
Is this person aware of the time and energy needed to care for a young puppy and willing and able to accept that responsibility?	<Please Select One> Yes No Possibly
How many hours per day will this puppy/dog be left alone?	<Please Select One> 1 - 3 hours 3 - 6 hours more than 8 hours none, there's always someone home
If more than 6 hours, will someone be able to potty the puppy at lunch, or will you hire a dog walker?	<Please Select One> Yes No
Where will the puppy/dog be when no one is home?	<Please Select One> Loose Crated On our bed Anywhere it wants Confined to kitchen Confined to basement Confined to garage Outside dog run
Where will the puppy/dog sleep at night?	<Please Select One> Loose Crated On our bed Anywhere it wants Confined to kitchen Confined to basement Confined to garage Outside dog run
Where will the puppy/dog PRIMARILY spend its time?	<Please Select One> Inside Outside Both
If you work during the day, where the puppy be or who will take care of it?
Grooming...  With regard to grooming, I think American Eskimo Dogs require:	<Please Select One> Daily brushing Weekly combing/brushing Full bath/blow dry every 6 weeks or so Full bath/blow dry more often than every 6 months Groomer twice a year I don't know
What would you do with dog if you suddenly found yourself unable to keep it?

Miscellaneous

Have you ever had to euthanize a dog? If so, why?	<Please Select One> Yes No
Have you ever had to take an animal to a shelter or pound?  If yes, please provide details.	<Please Select One> Yes No
Have you ever returned a dog, if so why?
Where did you get your previous/current dog(s)?         (Please check all appropriate boxes)	Got from breed rescue Got from local shelter Got from a pet store Got as a gift Dog was a stray Got from a breeder
If from a breeder, please provide breeder's name or kennel name ---   (Only applies to previous or current AED owners)
Please indicate your interest:	<Please Select One> Show (conformation) Performance (obedience, agility, rally, etc) Breeding only Conformation/Breeding Conformation/Performance/Breeding Maybe breeding Pet/companion Therapy
If you are purchasing a pet, will you agree to sign a contract stating that the dog is to be spayed/neutered and not be used for breeding purposes?	<Please Select One> Yes No

Veterinarian Information

Do you currently have a veterinarian?	<Please Select One> Yes No
If so, may we contact them for a reference?	<Please Select One> Yes No
Vet's name:
Clinic name:
Clinic location:
Telephone number:
Lastly, please tell us a little bit about why and what you are looking for in an American Eskimo Dog, and what type of activities you would likely be pursuing...

 

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