Shinto Akitas

Robert & Chris Ann Moore

479-674-2092

 

 

The below information is confidential and will assist in helping make the right selection for your family. Thank you for both showing an interest and taking the time to answer the following questions. Please email your questionnaire to bisacd@aol.com. 

 

 

Name: _________________________          Address:  ___________________________

City:  ____________________          State:  _________________  Zip:  ___________

Phone:  __________________          E-mail Address:  ___________________________

How did you here about Shinto Akitas? _____________________________________

Type puppy interested in? (Male/female)____________________________________

Show prospect or companion? (Show prospect required to be shown by contract and companion will require a spay/neuter contract) __________________________________

List any specific characteristics including color preference if any. ________________

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Have you ever owned an Akita before? (If yes explain)__________________________
________________________________________________________________________

What if any research have you done on the Akita? ____________________________ _____________________________ __________________________________________

Do you currently have any other pets? (Include type, number, sex etc.)_____________

________________________________________________________________________

What type facilities do you have? (Fenced yard or run, height of fencing, type fencing, etc.) ____________________________________________________________________

________________________________________________________________________

Will Akita be an outside/inside dog or both? (Explain) _________________________ ________________________________________________________________________

Do you have children? If yes how many and their ages? ________________________

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Signature: _______________________________                 Date: _______________