Your Name:
Contact Number:
Mailing address:
E-mail:
1. How did you become interested in the Shikoku?
2. Are you looking for mainly a companion, sport dog or show dog?
3. What do you plan on doing with your Shikoku?
4. Do you plan on persuing any canine venues?
(i.e. Hunting, Obedience, Conformation, Agility, Tracking, Other)
Please specify which venue(s):
5. Are you willing to title or certify your dog in any of the following:
Conformation, Agility, Obedience, Therapy, Flyball,
Hunting or in any other venue not listed?
6. Have you had dogs in the past?
If so, what breeds?
How long did you have them?
What happened to them?
7. Have you ever titled or certified a dog?
If yes, please provide the titles and certifications obtained and breed(s) of dog(s).
8. Do you currently own any animals?
If yes, please list species and breed of animals.
If you have dogs, how many?
9. Please provide the name, address and telephone number of your veterinarian:
10. How are you going to introduce your puppy to your other animals?
11. Which do you prefer...male or female? Does it matter?
12. Are you looking for a puppy with high drive, moderate or low?
13. What kind(s) of goal(s) do you have instore for your puppy?
14. When do you plan to begin obedience?
15. Are you aware of the socialization needs of a Shikoku?
16. How often do you plan on socializing your puppy?
17. How much time will you be spending with your Shikoku?
18. Who will be the main caretaker?
19. Where will your puppy be kept mostly?
20. Do you have an enclosed yard?
If so, is it secure?
How high is the fencing or wall?
If not, do you have a kennel?
Is it chain link, wire mesh or other (specify)?
Does it have a cover/roofing over the top?
21. Where will your puppy sleep?
22. What are your thoughts on crate-training?
23. How often do you plan on exercising your puppy?
24. When you go on travels, who will take care of your Shikoku?
25. Where are you located (country, state and city)?
26. Do you live in an apartment, townhome or house?
Do you own or rent?
If renting, can you provide a signed documentation from the landlord allowing the dog?
27. How many people are in your household?
28. Are there any children?
If so, what are their ages?
29. Are the children well socialized with dogs?
How is their behavior towards them?
Has there ever been a problem with your child and a dog?
30. Is everyone comfortable with the idea of a Shikoku?
31. Is there anybody who is home full time?
32. Do you work?
If yes, on average, about how many hours do you put in a week?
33. Do you go to school?
If yes, are you a full time (12 units or more) or part time Student (under 12 units)?
34. What is your experience with Shikoku?
35. Are you willing to travel to meet the Dam and Sire of the litter (if you haven't met them already)?
36. Would you be willing to allow a home visit from myself or a friend?
37. Do you plan on breeding?
If not, do you plan on spaying or neutering?
38. Are you willing to get x-rays and ratings on hips, elbows and patella on your dog after the age of 24 months?
Reguardless if the dog is being used for breeding purposes or not.
39. Do you realize the costs of owning a dog?
40. In the event of relocation, what will happen to your dog?
(i.e. you move into another place)
41. Why do you want a Shikoku?
42. What kind of a diet will you mainly be feeding your puppy? Kibble or Raw?
If feeding kibble, will you be feeding grain-free?
What brand name pet food(s) do you have in mind?
43. Are you aware that Shikoku are prone to food allergies such as Chicken?
44. Have you been or are you currently involved with any breed club or dog sport organization?
If so, which club or organization?
Is there anything else you would like to add?
(OPTIONAL) You may list up to 3 references. These references must be currently involved in a dog related venue.
This section is not required and leaving it blank will not prevent you from acquiring an Airreyalis pup.
This section is only here to be used to your advantage.