We expect our puppies to remain a part of our family so we are very careful in deciding the families we place them with. The questions you'll find in our puppy application are designed to help us determine what temperament will best fit your needs, lifestyle and environment. It is in your best interests to be as truthful and open as possible in answering our questions. Filling out the application does not automatically guarantee a puppy, nor will it rule any potential owner and home out. We use it as a tool to help us when we speak to you further about your wants and needs.

All form fields are required.
Contact Information
First Name:
Last Name:
Address:
City:	State:    Zip:
Home Phone:
Cell Phone:
Work Phone:
Email Address:
Best to Contact You At:	-- Select From List -- Home Cell Work
How did you hear about Nottingham Shilohs?
When and where did you discover Shiloh Shepherds?
About You and Your Household
In what type of housing do you reside?
-- Select From List -- Single Family Townhouse Condo Apartment
Do you own or rent?
-- Select From List -- Own Rent
If you rent, does your landlord permit large dogs? May we contact your landlord? Please provide landlord's name, address and phone number. (Enter n/a if own.)
Do you have a fenced in yard?
-- Select From List -- Yes No
If yes, describe, i.e. what height is the fence, size of yard, type of fence.
Members of your family living at the above address? (Adults? Children? Please include ages.)
Are there any other pets in the household? Please list name, sex, age and breed.
If all pets are not spayed/neutered please explain reason they are not:
Have you ever given a dog to a shelter or animal rescue? If yes, please explain.
Does anyone in your household have allergies? If yes, please explain.
Have you had a puppy in your family before?
-- Select From List -- Yes No
About Your Dream Shiloh Shepherd
I would like a:
-- Select From List -- Male Female
I would like them to be:
-- Select From List -- Plush Smooth
My first color choice would be?
I am interested in:
-- Select From List -- a Pet Shiloh Shepherd and plan to spay/neuter a Showing and/or breeding Shiloh Shepherd
Please describe the characteristics of the puppy you would like.
What are your future expectations (i.e. service dog, obedience dog).
Why are you interested in owning a Shiloh Shepherd instead of another shepherd breed.
Tell me about where your Shiloh will spend most of their time during the day and during the night.
How many hours per day will your Shilohs be left unattended?
Do you understand the expenses of puppies during their first year of life? And through the rest of their lives?
-- Select From List -- Yes No
Are you willing to give your Shiloh Shepherd a home for its entire life knowing full well that Shilohs can live up to 15 years or more?
-- Select From List -- Yes No
Do you agree to return your Shiloh Shepherd to Nottingham Shilohs if you are unable to keep him/her?
-- Select From List -- Yes No
Are you willing to keep your Shiloh Shepherd up to date on all its vaccines, heartworm testing, heartworm preventative and use flea/tick preventative if necessary?
-- Select From List -- Yes No
About Your Dog Experience
Have you trained a dog before? If so, what type of training did you do?
Do you have a trainer or training club you are affiliated with?
Describe briefly your past experience with dogs.
Who is your current Veterinarian.
May we contact your Veterinarian?
-- Select From List -- Yes No
Name, address and phone number of Veterinarian.
Are you willing to provide us with follow up reports as needed?
-- Select From List -- Yes No
References
Please list three references not related to you we may contact. Please list address, email address and phone numbers.
Additional Comments
Any additional comments, questions, or information you would like us to know about your family.
By submitting this application, I (we) authorize the veterinarian listed on this application to release information to Nottingham Shilohs.
Please enter your full name and date:
Feel free to contact us for more information and thank you for your interest in Nottingham Shilohs. Marti Nottingham, Nottingham Shilohs TSSR Registered Members ISSDC