First Name:
Last Name:

Street Address:
City: State:
Country: Zip:

Phone: Cell Phone/ Alternate Number:

Email:

Have you ever seen a Silken Windhound? Yes No

If yes, which Silken(s) were they and who owned them?

Where did you hear about Silken Windhounds?

How did you find our Kennel?

Please describe those personality and activity aspects that you would most value in your ideal dog.

Please list your household members and their ages (and occupations where applicable):

Name	Age	Occupation

Do you (or significant other) work... At Home Outside Home

The house is empty for hours days per week.

Do you travel away from home for vacation or business? Yes No

If yes, how often and for what length of time?

Where would your dog be at these times?

I / We Own Rent a(n) House Apartment Condo .

Describe residence:

Please describe any other areas you intend to play with your dog/puppy...

What activities do you want to share with your dog? (Please select any/all that apply)

Showing Agility Coursing Racing Obedience Training/Competition Rally Therapy Work TV Watching/Cuddling Hiking Walking Jogging Camping - Tent Camping - Backpack Camping - Motorhome Other

If you selected 'Other' above, please explain:

Have you owned a dog before? Yes No

If yes, what kind and for how long?

Do you own a dog now? Yes No

If yes, what kind and how old?

Did you have any problems with your previous dog(s) that you would rather not have repeated?
Yes No

If yes, please describe them:

Do you have any other pets? Yes No

If yes, please describe them:

Do you have a gender preference for your dog/puppy? Yes No

If yes, is your preference for a Male Female Strong or Mild

Are you planning on breeding your dog? Yes No

Have you bred a litter before? Yes No

Where do you picture your dog spending its days...

When you are at home?

When you are not at home?

Where do you picture your dog spending its nights...

When you are at home?

When you are not at home?