Surname: Given name: Email Address: Retype Email Address: How many adult family members reside at your residence including you? Age of Adult 1 Under 20 20-40 40-60 60-70 70+ Age of Adult 2 Under 20 20-40 40-60 60-70 70+ Number and ages of children residing at your residence: Do other members of the family also want to get a Samoyed? Yes No Mixed opinion What type of residence do you currently live in? City/house City/apartment Country/suburb/house Country/acreage/house Condo Other (describe in General Comments field below) Regarding swimming pools, we have: No pool Pool, unfenced Pool, fenced Is your property fenced? Yes, secure 5'ft+ fenced yard Yes, 3-4 ft fenced yard Planning to erect fence Planning to use electric fence Have a kennel run in yard No fence, I will walk my dog on leash No fence, I plan to tie out my dog No restraint - my dog can run the neighborhood freely Please provide your address, including province/state, zip/postal code and Country. Please list a phone # where you can be reached. What are you seeking? Baby Samoyed Puppy (8-12 wks) Older Samoyed Puppy (4-12 mos) Samoyed Adult Undecided/flexible Are you seeking a ... Male puppy Female puppy Flexible on gender I'd like to discuss this with you What is your preferred time frame for acquiring a new Samoyed? Immediately/anytime (I'm ready!) As soon as possible (I'm ready!) 1 month from now (I'm almost ready!) Next winter Next spring Next summer Next fall Undecided Do you primarily desire that your new Samoyed be a: House dog, only out with the family A dog that spends time living both indoors and outdoors Primarily an outdoor dog Which answer best describes your aspirations for your new Samoyed? Companion/Pet (nonbreeding) puppy/adult for adult owners Companion/Pet (nonbreeding) puppy/adult for adult owners with children Primarily pet, might want to show Primarily pet, might want to breed Primarily pet, might want to show/breed Primarily pet, obedience/agility/flyball competitions Primarily show/breeding (I am a breeder) Primarily show/breeding (I want to become a breeder) Do you have objection to spaying/neutering your Samoyed at 5-6 months of age? No objection - I agree with pet sterilization I object - I want my dog to remain whole May consider it when mature N/A I want an altered adult Have you ever had to put a dog to sleep (i.e., euthanasia)? Yes No My perception of Samoyeds is that they ... Shed Bark when bored Dig when bored Are friendly, social dogs Are reserved, guardy dogs Need little supervision Are the perfect breed! In terms of grooming, I think Samoyeds require: (check all that apply) Daily brushing Weekly brushing/combing Full bath/blow dry every 3 months Full bath/blow dry every 6 months Shave them when necessary Have you ever raised a litter of puppies or kittens? If yes, give details. I am familiar with and am willing to use a dog kennel (crate), wire or moulded plastic, to aid in housebreaking and training my dog - as well as to provide him with his own 'den' and safe/secure place when he cannot be directly supervised. Yes No I will research this Would you be willing to take your dog to obedience classes, and to train him/her to be a good canine citizen? Yes, absolutely! No, not necessary. No classes in my area. Please describe details of any current or previous family pets, including their health, how long they lived, how they died (if deceased), and what traits you enjoyed, or would have changed if you could. Why have you decided to get a Samoyed? How were you referred you to Vanderbilt Kennel? GENERAL COMMENTS BOX. Please use this space to add your comments and any questions you might have for us. That's it! We'll get back to you shortly. If you do not receive a response within 4 days please drop us an email at samoyeds@gmail.com or call us at 705-932-2559 and mention that you've already submitted a form. Thanks for your interest in Vanderbilt Sammies!