Name:
Home Phone#
Mailing Address
Email Address:
Do you own or rent your home
If you rent, do you have your landlords permission to have a dog?
Do you live in a:
How long have you lived at this address?
Do you have a fenced yard or kennel run suitable for a dog?
Please describe the fence of kennel run- type, height, size?
If you do not have a suitable fenced area, how will you handle your Shiba's exercise needs?
Do you plan on keeping this puppy primarily :
How many Adults are in your household?
How many Children and Ages
Who will be the primary caregiver of puppy?
Please describe your lifestyle, this will help us determine which puppy might suit you best.
How many hours in the day will the puppy be alone?
How will puppy be housed while you are away from the home?
Do you own any other dogs? Are they spayed/neutered?
Have you owned a dog before?
Have you ever been owned by a Shiba Inu before?
You may have noticed that I place an emphasis on a raw diet. This litter will be third generation raw fed. Have you looked into this diet? Are you willing to continue feeding this diet to your puppy?
Please indicate preferred gender of puppy.
We are currently breeding the red colour only, however there is a possibility of cream puppies in this litter. What is your colour preference?
What has drawn you to this breed? What traits are you looking for in your Shiba?
What activities do you plan on doing with your dog? Please check all that apply. Pet
Showing
Obedience
Agility
Are you willing to attend puppy socialization and obedience classes with your dog?
Will you allow an in home visit by a representative of Arisu Shibas before puppy placement?

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Thank you for your interest in our dogs!!
Please take the time to complete ALL questions.