Dakota Whippet Application

Your Name ____________________________________  Phone __________________

Address ________________________________________________________________

City ____________________________  State ___________  Zip Code _____________

Email Address __________________________________Alt. Phone ______________

How did you learn about our Whippets? _________________________                                                                                                                                      

Check you preference:  Puppy  _____   Adult ______ //////  Male ______ Female _____

For what purpose do you wish to obtain a Whippet? (check all that apply)

   Companion ____   Show _____    Obedience/Agility _______  Lure Coursing ______ 

 Other_________________________________________________________________

Have you previously owned a Whippet? ______   Present Pets _______________

_______________________________

Previously Owned Pets:__________________________________________________

What happened to them? ________________________________________________

Have you ever had to put a dog to sleep (euthanized)? If so, why? _______________

____________________________________________________________

Do you have a problem with neutering/spaying this Whippet? ________________________________

If so, can you explain why? ___________________________________________________________

HOUSEHOLD:

Are you M S D W (Circle)        Your age ______   Children at home/Ages:__________________

Occupation of adults ____________________________________________________________

Who will be the PRIMARY CARETAKER of this dog? ________________________________

Where will the dog be during the day? ____________________   At night? _________________

Do you reside in the  (Circle) City ____    Suburbs ________  Country _______

Do you live in a (Circle)  House ______   Apartment _________  Townhouse _________

Do you have a fenced yard, dog run or other area? Please comment: _______________________

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