First & Last Name
*
Address
*
City & State
*
Home or Cell Phone
*
Have you previously owned a shih tzu?
*
Yes
No
Do you own other pets now?
*
Yes
No
If so, which ones/?
Do you have children?
*
Yes
Yes, but all are grown
No
No, but we have grandchildren
Where will your shih tzu eat, sleep, etc?
*
Do you have a fenced yard or other safe way for your shih tzu puppy to play outside?
*
Is this puppy a gift?
*
Yes
No
Do you rent or own your home?
*
Own
Rent
If rent, does your landlord allow pets?
*
Yes
No
Approximately how many hours will the dog be alone in a 24 hour period?
*
How many dogs have you owned in the past 5 years?
*
Have you ever given a pet away?
*
Yes
No
If yes, what were the circumstances?
Why do you want to own a shih tzu?
*
Do you prefer a male or female puppy?
*
Male
Female
Doesn't matter
What color do you prefer?
Are you aware that you should never take a Royal Palm Shih Tzu puppy to an animal shelter or pound?
*
Yes
Email
*
What is your age?
I'm interested in puppy #
I would like to place a deposit on an available puppy.
Yes
I am seriously considering buying a shih tzu and would like to be placed on your list for future litters.
Yes
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