Application for adoption
At Namtrah Tibetan Spaniels we take breeding, raising, training, and showing of Tibetan Spaniels very seriously. Our selection and breeding priorities are very simple we work to maintain the best temperament, the best conformation and the best health in all our Tibetan Spaniels. We ask for this information because we care very much for this breed and consider each puppy we bring into the world our "responsibility" for the rest of it's long and happy life. If you have any questions for us please feel free to ask them. Please send an e-mail to firstname.lastname@example.org or call 203-240-8039 if you would like more information or to receive an application by mail. We are located in South Central Pennsyvania, halfway between Harrisburg and York, PA.
You may cut and paste a copy into your email or word document
Name: ____________________________________________________ Date: __________________
Email Address: ______________________________________ Home Phone: _________________
Address: ___________________________________________ Work Phone: _________________
City: _____________________________ State: ________________ Zip Code: ______________
Occupation: ___________________________________Age (circle one) <20 20-40 40-60 Over 60
How did you find out about Namtrah Tibetan Spaniels?
Why are you interested in adopting a purebred Tibetan Spaniel?
What situations would cause you not to be able to keep this Tibbie?
Do you understand that if you are no longer able to keep this dog you are required to return it to Namtrah Tibetan Spaniels:
YES: _______ NO: ______
Which of the following best describes your current residence?
Own Home/Condo: ______ Rent/Lease Apartment: _______ Rent/Lease House: _______
Do you have a fenced yard on your property? Yes: _________ No: __________
If so how high is the fence? ____________________
How do you plan to allow your pet to relieve itself and/or exercise?
Do all the adults in the household work out of the home full time? Yes: _____ No: _____
Approximately how many hours each day will your dog be left alone? ________________
Where will the dog be kept when left alone?
Do you have any children living with you? Yes: _________ No: __________
If yes, what are their ages and sex? _______________________________________________
What other animals do you have? List breed, age, sex, spayed/neutered, how long you have owned them.
If you just recently lost a pet please include information on that pet as well.
Please provide your Veterinarian contact information:
Name: ______________________________________________ Phone number: _____________
Please provide a personal reference (preferably a dog owner):
Name: ___________________________________________ Phone number: ______________
All pet companion Tibetan Spaniels must be spayed/neutered and proof provide back to Namtrah Tibetan Spaniels
before their AKC papers will be released. Also it must be understood to maintain good health the Tibetan Spaniel
must be kept current on all vaccinations and receive an annual check-up.