Puppy/Adult  Adoption Form
                                        SarJan’s Shih Tzu  
       Our Shih Tzu are very precious to us.  Please fill out the questions below to help 
                      us both make the right decision in the placement of this pet.



Phone:                                                           Email:  

Why have you chosen a Shih Tzu to be a member of your family?

What are your expectations for this puppy/dog?

Which do you prefer: male or female? why?  Which SarJan's puppy are you applying to 

Have you had experience with a toy breed before?

Have you owned other breeds of dogs?        If so, what?

Where are they now?

Are there other pets in the home now?

Where did you get them from?

Are there children in the home?                                If yes, what ages?

Do you own your own home or have written permission from the landlord to have a pet in the home?  

Does everyone in your family agree to have this puppy/dog?

Do you have a fenced yard?                          If no, how do you plan to exercise the pet?

Will someone be home during the day to put the puppy/dog out when needed?

If no one is home, what arrangements have you made for the puppy/dog to be
 put out during the day?

Where do you plan to keep the pet when you are not home?

Veterinary information:


Address                                                                         Phone

Personal References (2 or 3 people who would recommend you as a good pet home)

1) Name                                                                        Phone

2) Name                                                                       Phone 

All puppies we place as pets must be spayed/neutered after nine months of age.  AKC papers with limited registration will be provided when proof of spay/neuter from your vet is  provided.   

Adults placed for adoption will be spayed/neutered at our vet at your expense prior to them joining your family.

Thank you for your interest in adopting a SarJan's Shih Tzu!

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