Color preference lst choice________2nd choice________No preference____________
Male_______Female_______No preference __________
Home phone( )__________Cell phone ( )___________Work phone ( )____________
Email address_________________________________
Name___________________________
Address______________________________________________________
City________________________________State______________________
If you decide you can NOT keep the pup do you agree to contact me first? _____________
Do you keep our dogs inside or outside? _________
Do you have children and pets, what ages are the children/pets?_________________
Have you ever had a Shih Tzu before?_____
Where will the dog be kept when you are at work & for how long?__________________________________
Occupation______________________