Application for Eurasier Ownership

Thank you for your interest in our Eurasiers. We would appreciate it if you take some time to answer the

following questions. Our commitment is to find homes for our Eurasiers where they will be treated as

family members. That is what the temperament of the breed requires, and that is the tradition of Eurasier

ownership. Your responses will help us select the dog that’s best for you and your family. Please answer

all questions honestly. All questions MUST be answered before your application will be considered.

Date:

Name:

Address:

City: Province/State:

Postal Code/Zip: Country:

Phone (res.): (bus.): E-Mail:

Single (no children) ___ Single (with children) ___ Married /Couple (no children) ___ Married/Couple (with children)___

Name of Spouse/Other:

Your age and age of spouse/other:

Ages of Children:

Allergies: No____ Yes (please explain):

Hours per day & per week worked: Spouse’s hours of work:

House ___ Condo ____ Apartment___ Acreage ___ Other (please explain):

Do you have a: Fenced yard/area___ No fenced yard ___ Dog run/kennel ___ Dog Crate ___

Public park near your home ___ Field ___ Wooded area ___ Off-leash area ___

Will this be your first dog? Yes_____ No _____ (please explain, including number and breeds of dogs

previously or currently owned, and whether spayed or neutered):

Why do you want a dog? For my spouse ___ For my children ___ For companionship ___ For Aid ____

For security ___ Other (please explain):

Do you prefer a male Eurasier pup____, or female Eurasier pup___?

Color Preference:___________Please explain:

Are you interested in: Conformation/Show ____ Obedience ___ Agility ____ Breeding ____

Describe the characteristics you would like in an "ideal" dog, or describe how the dog you acquire will

fit into your family:

Is anyone in your immediate or extended family fearful of dogs? No ___ Yes ___ (please explain):

Why are you interested in a Eurasier?

How did you hear about Eurasiers?

What kind of exercise will you do with the dog? Daily walk __ Training __Play __Jogging __Hiking __

Other (please explain):

Describe the weekday routine of your Eurasier:

Describe the weekend routine of your Eurasier:

Where will your Eurasier live: Inside _____ Outside _____ Freely moving between both

Explain further if desired:

On what kind of flooring in your home would a pup spend most of its time? (ex. laminate, ceramic tile,

hardwood, vinyl etc)

How many hours of the day will the Eurasier be left without direct human physical contact?

When left alone or without direct human physical contact, where will the Eurasier be kept?

Who will be the primary caregiver (feeding, grooming etc)?

Outside of family members, who else might attend your Eurasier (e.g., neighbours, dog sitters, etc.)?

When vacationing, what arrangements will be in place for care of your Eurasier?

Would you use boarding kennels? Do you know the costs of local boarding kennels?

Are you personally acquainted with those who have boarding kennels in your area?

Are you a member of any dog affiliations/associations (kennel clubs, breed clubs, animal shelter, etc.)?

Please describe:

Please list any hobbies, activities or interests of those who are part of your household:

How much would you say you know about the Eurasier breed?

It is recommended that exams for hip/elbow dysplasia, patella luxation and eye normalcy be given when

the Eurasier reaches 2 years of age. Do you plan to proceed with this testing and certification?

Yes ___ No ___ Don’t know ___

One condition of sale is the mandatory enrollment in, participation in, and graduation from a recognized

puppy school consisting of no less than five (5) weekly, one-hour sessions. Is this something that you

would be willing to do and would commit to doing?

How do you feel about that requirement?

If for any reason your family can no longer keep your Eurasier, one condition of sale, is that you must

first contact the breeder to discuss options to find a new home for the Eurasier, and the breeder must

be given the option of taking the Eurasier back.

How do you feel about that condition of sale?

Relocation: _________________________________________________________________________

New baby in family: __________________________________________________________________

Acquired Allergy to Dog: _______________________________________________________________

Severe Financial problems: ______________________________________________________________

Divorce/Separation: ___________________________________________________________________

Death of owner(s): ____________________________________________________________________

Comments: _________________________________________________________________________

__________________________________________________________________________

Note: If you need additional space to answer questions, please attach additional pages as needed .

_______________________________________ ____________________________

Signature(s) of Applicant(s) Date