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Name:
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Address:
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Phone
Numbers: wk:
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How were you
referred to us?
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Email Address:
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Do you own any
other Akitas M/F? If Yes, how many?
Are they altered or intact? Where did you acquire it (them)?
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If you have never
owned an Akita, why do you want one now?
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What are you looking
for in an Akita? Show
Quality or Companionship?
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If you are looking
to acquire a Companion Akita, will you spay or neuter your puppy if
required?
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If you are looking to acquire a potential
Show Quality Akita, are you a member of the Akita Club of America or any
other Akita organizations?
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Do you prefer a male
or female?
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What specific traits
do you want in an Akita? Colors, size, structure, etc.
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Do you own or rent
your residence? Do you reside in a house, condo, or apartment?
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If you rent, does
your landlord approve of an Akita?
Or if you own do you have an association in your neighborhood
and do they have any issues with Akitas?
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Some homeowners
insurance companies will not insure a home with an Akita; do you know
what your policy requirements are?
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Do you have
children? If yes, how many and their ages?
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Do you have any
other pets? If yes, what types?
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Have you ever
returned an animal from which you purchased or acquired it?
What was the reason?
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Do you have a fenced
dog run or yard? How tall
is the fence? What are the dimensions of the run?
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Where will your
Akita spend its time? Outside,
inside the home, a run, or a crate, etc?
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Will you allow an in
home visit before placement of a puppy?
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What type of
research have you done on the Akita?
Do you realize their temperament traits,
dominance, and possible aggression towards other animals? Please
explain:
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How would you deal
with an issue of dominance or aggression with other animals in the home? Akita
or return it to the breeder?
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Have you ever bred a
litter of puppies? If yes, what breed and how many litters?
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Why are you interested in
one of “our” akitas?
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Are there any questions
you would like to ask of us?
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Please give 3 References:
(Veterinarian, friend, breeder, relative, etc.) Including phone numbers.
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Please include photos of
your yard, with your backyard fencing visible when sending our
application.
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Thank you.
Signature:
_____________________________________________ Date: _____________
Signature:
_____________________________________________ Date: _____________
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