shibaap

Candy Rock Kennels,Inc.

13701 Andress Road

Berlin Heights, Ohio 44814

(419) 588-3170 or Cell: (419) 706-2398

Fax (419) 588-3809

Puppy Application

Name:

Address:

City, State, Zip:

Phone and Cell Number if shipment is requested:

Email address:

Age of potential owners , number of children and age of children:

How many other animals are in your home and what are they:

Have you ever owned an Shiba Inu and do you know what to expect?

List of previous animals and what happened to them?

What color and gender are you looking for?

Is this dog intended on being kept inside or out?

Do you have fenced in yard?

If so how high is the fence?

If not, how do you plan to restrain this dog?

Do you own or rent your home? -how long?

Do you plan to spay or neuter?

References ( two please):

Name:

Address:

City, State, Zip:

Phone and/or Cell Number:

How do they know

you?

Name:

Address:

City, State, Zip:

Phone and/or Cell Number:

How do they know

you?

Name , address and phone number of your Veterinarian:

Name:

Address:

City, State, Zip:

Phone and/or Cell Number:

How long have they known you?

Any Questions or Comments:

"Litter Pick" is provided based on the order that deposit's are received. If there

are

not enough males or female for you in a specific litter, we will permit you to

select

from the next litter that arrives at Candy Rock Kennels. We reserve the

right to

select an alternate litter for you to select from.

Candy Rock Kennels requires a deposit . Please note: this deposit is NON-

refundable.

A boarding fee of $5.00 per day will apply if your selected dog is left here for

more

than (1) one week past date of pickup or delivery. After two weeks the

terms of sale

are revoked, and your selected dog will return to the ownership

of Candy Rock

Kennels. Please note: If ownership of selected dog is revoked

thru failure to collect

said animal, we reserve the right to offer said dog for sale

to another party without

your approval. No refunds will be granted in the event

of abandonment or failure to

communicate with Candy Rock Kennels. It is the

buyer's responsibility to arrange

collection date, and to collect selected dog at

the specified time.

This application is to be filled out by the individual who intends to own the

selected

dog. The same individual is required to submit deposit and/or

payment. If a married

couple, joint couple, or two individuals are living together

as "Common-Law", we

require that ONE person be considered the selected

dogs owner, and this individual

MUST be named on this application.

This application in no way guarantees that selected dog will be sold or

adopted to

the applying individual. We reserve the right to refuse business

with individuals we

deem inappropriate for the responsibility of an Shiba Inu’s

care and ownership.

All puppies sold in Ohio must pay Ohio Sales Tax.

All pups must be paid in full by 6 weeks of the selected dogs age, if shipment is

required.

We appreciate your honesty and support in these matters.

Thank You for your interest in Candy Rock Kennels.

Kathy at Candy Rock Kennels