* At Ziemabora, it is of the utmost importance to us that we correctly match our puppies/dogs to the right human family to ensure a long and harmonous relationship. Please take a few minutes to tell us a little about yourself and what you are looking for in your canine companion.

Are you applying for a Siberian Husky or a Shiba Inu?

* Please list all members in the household and list their ages.

* Please list your occupation and your spouse's occupation if applicable.

* Please describe the type of setting you live in (rual, urban, etc.)

* How long have you lived in your current home?

* What type of residence do you live in (house, apartment, condo, etc.)?

* Do you currently own or rent your home?

If you rent your home, can you provide a letter of proof from your landlord that states you have permission to have a dog living in your home?
Yes llllllll No

* DO you currently have a fenced-in yard?
Yes llllllll No

If yes, please describe the type (chain link, wood privacy fence, underground fence, etc.) and height of your current fence.

If you do not have a fence, do you plan on installing one or how do you plan to exercise your dog without a fence?

* Where would the dog primarily reside? (example: in the house with the family, outdoors in a covered kennel, in the garage or basement, etc.)

* On an average day, how many hours would the dog be left home alone and where would the dog stay during that time?

* Who would care for the dog when you go on vacation, out of town for your job or become sick and can't take care of the dog yourself?

* Have you ever owned a dog before? If yes, please tell us a little bit about your past dog(s)- like breed(s) owned, your involvement with them (show, breeding, obedience, sledding, etc.), if they were spayed/neutered and what happened to them if you no longer have them.

* Do you currently own any other pets or plan to get any other pets after adopting a dog?

Please tell us about your other pets you currently own. Also, please explain how you would handle the situation if the new puppy/dog did not get along with your other pets.

Are your current pets up to date on their vaccinations and Heartworm prevention and visit their veterinarian at least once a year?
Yes llllllll No

Are your current pets spayed/neutered? If no, please explain why not.

* Have you thoroughly researched the breed you are applying for and understand the good and bad points of this breed- the grooming needs, prey drive, etc? (If no, please ask us!)
Yes llllllll No

* Do you understand that this breed can NEVER be trusted off-lead (no matter how much land you may own!)and must be in a fenced-in yard or on a leash at all times?
Yes llllllll No

* Are you familiar with the amount of exercise this breed requires and are you willing to make the commitment to provide it?
Yes llllllll No

* Are you willing to make a 12-15 year commitment to love and care for a dog for his/her entire lifetime?
Yes llllllll No

* What qualities are you looking for in your canine companion?

* What qualities or behaviors are you not willing to live with?

* Have you ever re-homed or given away a pet to another person or to a shelter? If so, please describe the circumstances behind the decision to do so.

* Why have you chosen this breed of dog to share your life with?

* We sell all puppies/dogs under a legally binding contract whether they are show or pet dogs. We do this to protect the well-being of our dogs. Are you willing to sign a purchase contract? If no, please explain why not.

* We require that all puppies placed in pet homes be spayed/neutered by 6 months of age. Would you agree to this requirement and if not, please explain why not.

* We require that our puppies/dogs receive regular veterinary preventative care such as vaccinations, heartworm testing and preventative, and parasite control (fleas & ticks as well as internal parasite control). We also require that our puppies/dogs be fed a high-quality premium dog food and be kept in a healthy weight and body condition. Do you agree to these things? If not, please explain.

* Do you prefer a puppy? If so, do you prefer a young puppy under 6 months of age, an older puppy 6-12 months of age, or an adult dog?

* Do you prefer a male or female or do you have no preference?

* Please note: We do not breed for a specific coat or eye color. Do you have a preference in this area? If so, please list your first and second choices.

* REFERENCES: Please list your veterinarian's name and business name, address and telephone number:

* Please provide us with 2 personal references that are not related to each other. Please supply names, addresses, telephone numbers, and e-mail addresses.

* How did you hear about ZIEMABORA? (example: web search, referral from another breeder, etc.)

Now that you have told us a little bit about yourself, do you have any questions for us?

* Please list your contact information: (Name, address, telephone number(s) and e-mail address: