1. Full Name:
2. Full Mailing Address:
3. Home Phone:
4. Cell Phone:
5. Work Phone:
6. Best Time to Call:
7. Email Address:
8. How did you first learn about
the Mi-Ki breed?
9. Why would you like to own a Mi-Ki?
10. What sex do you prefer?
Male
Female
No
Preference
11. Were you aware that MALE and FEMALE dogs mark their territory?
This is a fact!! If a dog of any breed is altered (spay/neutered) by 5 or 6 months of age then they never develop the hormones telling them that they should mark territory.
12. Do you understand that we ONLY have pet quality Mi-Ki's available to the public?
13. Do you understand that all Mi-Kis 5-months of age or older have to be spay/neutered at the buyers expense before leave us?
14. Do you have other pets at the present time? If yes, what kind of pets and how many pets?
15. Do you have a fenced in yard?
16. If you do not have a fenced yard, what arrangements will you make for keeping your dog nearby when he/she is outdoors?
17. Do you realize that some Mi-Ki's can and do climb fences?
18. Who will be the primary caregiver of your new family member?
19. Do you plan to participate in any of the following activities with your Mi-Ki? Check as many as are
applicable:
Basic Training
Obedience Therapy Work Other
20. How many people live in your
household? Any children and what are their ages?
21. Who will care for your Mi-Ki when you go on vacation?
22. Is someone home during the day? If not, where will the Mi-Ki be kept while you are away from home?
23. Are you planning on crate
training this Mi-Ki?
24. Are you prepared to have a dog who thinks he/she needs to be with you and/or in your lap a 100% of the time?
25. Will your Mi-Ki participate in any of your family's activities?
26. Is there anyone in your home who doesn't want a dog?
27. Do you live in a:
House
Condo
Apartment
Other
28. If you rent, does your lease
allow you to have pets?
29. Where will your dog spend most of it's time when he/she is at home?
30. Do you agree never to allow the dog to run loose or be tied up in the yard?
31. Do you have any poisonous plants in your home or in your yard? If you are not sure, check out the
link below to help you to identify them.
http://www.aspca.org/site/News2?page=NewsArticle&id=7580&news_iv_ctrl=1321
32. Are you prepared to spend the next 10 to 15 years of your life caring for this Mi-Ki, feeding, exercising, grooming and giving proper veterinary care?
33. Do you agree, if for any reason you are unable to care or cannot keep this Mi-Ki, you will return the Mi-Ki to the breeder?
34. Do you have a Veterinarian, or have you contacted one for when the Mi-Ki arrives?
35. Will you obtain shots, rabies, license, tattoo or microchip, etc. for the Mi-Ki?
36. Will you agree to always keep the breeder current with regard to your address, and inform the breeder of any problems that may develop with the Mi-Ki over his/her lifetime?
37. Please provide 3 references with names, phone numbers, email etc. who we may contact regarding your ownership of a new Mi-Ki.
38. Please provide your Veterinarians name, mailing address and telephone number.
39. Will you guarantee that the Mi-Ki is being purchased for you own ownership and you are not acting as an intermediary for, nor will the buyer transfer ownership to any owner, employee, agent or individual connected with a pet shop, puppy mill, or wholesaler of
dogs? (any person(s) who buy puppies in litter lots or trades puppies for possessions or services)
40. Is there anything you would like us to know that hasn't been covered in this questionnaire? Do you have any questions you'd like to ask us about the Mi-Ki breed or about our Mi-Kis in general?
