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Adoption Questionaire
Since we are interested in providing the dogs with the very best permanent homes we can, we try very hard to match the particular dog's needs with those of the prospective family. In order to help us do that we evaluate each dog individually and then must have information about the adopting family
 





  
Name:
Spouse:
Address:
City:     Zip:
Home Phone:      Work phone:
E-mail
     

Occupation and Working Hours
Spouse's occupation and work hours
Ages and sex of children living at home
Please list other pets you own
Have you owned a schipperke before 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 in an apartment?
Do you have a security fence 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 e-mail addresses if available.   
Where will your schipperke be living with you or outside?  
We keep in touch with the families who receive or adopt dogs from or through us for their entire lives.
You understand that if the dog does not work out, you must return your schipperke back to Central Florida Schipperke yes no
 Do you understand that Central Florida Schipperke requires that all dogs be spayed or neutered? yes   no
We do not 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 Central Florida Schipperkes to visit your home? yes  no
Please check your preferences:  Male , Female      Type: Show Dog , Pet , Rescue , Match   Age:

Please add your comments and any information that could not be included above.