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Name:

Email Address:

Phone Number:

Alternate Phone Number:

Home Address:

City, State/Province:

Zip/Postal Code:

Please list all the members of your household and their ages:

Are all members in agreement to adding a whippet to your family? yes
no

Who will be the dog's primary caretaker?

Does this caretaker: Work full time
Work part time
Works from home
Stay at home

Will the dog be allowed on the furniture? Yes
No

What type of home do you have? House
Townhouse
Apartment
Other

Do you rent or own your residence? Own
Rent

Do you have a secure (not invisible) fenced yard? Yes
No

If you do not have a fenced yard, how will you exercise your whippet?

What pets (any type) do you currently have? List below.

If any of your current pets are dogs, list below in detail what breed/mix they are, age, sex, and whether they have been neutered/spayed.

Have you ever given a dog away or taken one to a shelter? Yes
No

Have you ever had a Sighthound Breed before? (sighthounds include Greyhounds, Afghans, Salukis, Rhodesian Ridgebacks, Basenjis, Italian Greyhounds, Whippets etc) Yes
No

If you have, please provide details:

How did you conclude that a whippet is the right breed for you?

Are you familiar with the unique traits and challenges living with a whippet can bring? Yes
No
Somewhat

What age of whippet would you prefer. Please check all that apply: Puppy
Young Adult
Adult
Senior
Undecided

When would you like to add a whippet to your household?

Do you prefer: A male
A female
Either sex

Do you have a strong color preference? If so which?

A whippet in your home will be primarily: Outdoors
Indoors

Where will your whippet be when you are out of the home? In a crate
Loose in the house
Confined to a room
In the yard

Where will your whippet sleep at night?

Please check activities (if any) that you plan or would like to participate with your whippet: Conformation (showing)
Obedience
Lure coursing
Racing
Agility
Therapy
Flyball
Jogging/hiking
Other

If you are not showing your dog, will you agree to spaying/neutering them? Yes
No

If you find yourself unable to care for your dog, for any reason at any time in their life, do you agree to return them to us? Yes
No

Any additional information for us?

If we don't have the right match available for you at the moment, may we forward your information to other reputable breeder who may be able to help? Yes
No

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Name:
Email Address:
Phone Number:
Alternate Phone Number:
Home Address:
City, State/Province:
Zip/Postal Code:
Please list all the members of your household and their ages:
Are all members in agreement to adding a whippet to your family?	yes no
Who will be the dog's primary caretaker?
Does this caretaker:	Work full time Work part time Works from home Stay at home
Will the dog be allowed on the furniture?	Yes No
What type of home do you have?	House Townhouse Apartment Other
Do you rent or own your residence?	Own Rent
Do you have a secure (not invisible) fenced yard?	Yes No
If you do not have a fenced yard, how will you exercise your whippet?
What pets (any type) do you currently have? List below.
If any of your current pets are dogs, list below in detail what breed/mix they are, age, sex, and whether they have been neutered/spayed.
Have you ever given a dog away or taken one to a shelter?	Yes No
Have you ever had a Sighthound Breed before? (sighthounds include Greyhounds, Afghans, Salukis, Rhodesian Ridgebacks, Basenjis, Italian Greyhounds, Whippets etc)	Yes No
If you have, please provide details:
How did you conclude that a whippet is the right breed for you?
Are you familiar with the unique traits and challenges living with a whippet can bring?	Yes No Somewhat
What age of whippet would you prefer. Please check all that apply:	Puppy Young Adult Adult Senior Undecided
When would you like to add a whippet to your household?
Do you prefer:	A male A female Either sex
Do you have a strong color preference? If so which?
A whippet in your home will be primarily:	Outdoors Indoors
Where will your whippet be when you are out of the home?	In a crate Loose in the house Confined to a room In the yard
Where will your whippet sleep at night?
Please check activities (if any) that you plan or would like to participate with your whippet:	Conformation (showing) Obedience Lure coursing Racing Agility Therapy Flyball Jogging/hiking Other
If you are not showing your dog, will you agree to spaying/neutering them?	Yes No
If you find yourself unable to care for your dog, for any reason at any time in their life, do you agree to return them to us?	Yes No
Any additional information for us?
If we don't have the right match available for you at the moment, may we forward your information to other reputable breeder who may be able to help?	Yes No

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