Application and Health Guarantee
Application to adopt puppy
If you are interested in one of our puppies, please complete this application, copy and paste into an email to [email protected]. You will not be considered for a puppy unless this application is completed and emailed to me.
Name: _________________________________________
Address: ________________________________________________
City: ________________ State: _____________ Zip: _____________
How did you hear about Daisypatch Shih Tzu? _________________________
Do you have or have you had a Shih Tzu? _____________________________
____________________________________________________________
Why have you chosen this breed? ___________________________________
____________________________________________________________
Do you have a preference for male or female and why? ____________________
_____________________________________________________________
Do you have a preference for color or size? _____________________________
Tell me about your family members (who live with you and who might often visit):
_____________________________________________________________
_____________________________________________________________
Do you have other pets? If so, how many and what breed? __________________
______________________________________________________________
If you have other dogs, are they spayed or neutered? ______________________
Where will the puppy be kept and who will be caring for the puppy? ___________
______________________________________________________________
Do you work out of the home and, if so, how will you care for the puppy? ________
______________________________________________________________
Do you have a fenced in yard (not required) and, if so, what kind? ____________
How many dogs/cats have you owned in the past 5 years? ___________________
______________________________________________________________
Have you ever surrendered a pet back to the breeder, animal shelter, rescue or
given away to an individual? If so, why? ________________________________
______________________________________________________________
Are you aware of the grooming and vet care requirements for this breed? Are you
able to pay for routine care as well as for any emergency that may arise? ________
_______________________________________________________________
*****************************************************************
Please read over this contract and feel free to ask if you have any questions.
A copy will be given to you at the time of purchase.
HEALTH GUARANTEE AND CONTRACT
Date: ________________
I agree to purchase this (male/female) Shih Tzu puppy with AKC registration # _____________________
Chip # _________________________
Sire: __________________________________ Dam: _________________________________
Color: __________________________ Date whelped: ___________________________
Price: $ ___________________
Non-refundable Deposit Amount: $__________________ Received on ________________
Remaining balance: $ _________________ Received on ________________
Your puppy is guaranteed to be healthy at time of purchase. For this guarantee to be valid, you must have your puppy examined by a licensed veterinarian of your choice within three (3) days of the date of purchase. During the initial exam, should your veterinarian find a medical problem, you must contact me at time of vet check. If a medical condition exists not common to the brachycephalic breed and is said to be a life-threatening condition, a replacement puppy (or full refund of purchase price) will be given upon returning the puppy within 72 hours. If the puppy is out of state, the puppy must be returned within seven (7) days. Buyer is responsible for all shipping expenses. A puppy must be returned with the AKC papers and a statement from the veterinarian certifying t he diagnosis, including the date. The breeder has one (1) year to provide replacement puppy of equal value and the same gender from the next available litter. Replacement Warranty will be terminated if the puppy was abused, neglected or does not have up to date records of vaccinations and fecal records. If a problem exists and the buyer does not return the puppy, he/she will be responsible for all vet bills incurred. Breeder will not be responsible for any of the veterinary fees charged for the initial examination or for any other veterinary services rendered on that first visit.
The puppy is guaranteed for any/all life-threatening hereditary conditions for his/her life time.
This does not include conditions such as worms, umbilical hernias or stenotic nares. Coccidiosis can manifest itself in a stressed puppy and treatment for this condition is not covered by this guarantee. If a major life-threatening hereditary condition does occur, the puppy will be replaced. Breeder has up to one (1) year to replace puppy.
If sudden death should occur, a necropsy must be performed and report verified by my veterinarian to verify the cause of death. If death occurred from a congenital problem, a replacement puppy of the same sex and equal value will be given. Breeder has one year to replace puppy.
Page 2 of Health Guarantee and Contract
Your puppy will have had its first puppy shot at 8 weeks. The vaccine series needs to be repeated every 3 - 4 weeks for a total of three to four puppy shots. It is your responsibility to make sure the puppy is vaccinated at those ages. If your puppy is exposed to parvo and/or distemper before the full vaccine series is completed, he/she can be susceptible to these viruses. It is recommended you do not take your puppy to places he/she might come in contact with these viruses (such as pet stores, dog parks, etc.) or allow strangers to pet or come in contact with your puppy until he/she has had full series of puppy shots. I will not be responsible for a puppy’s health if he/she is given a vaccine with Lepto or re-vaccinated before the 3 week interval. He/she will also need a Rabies shot at the age determined by your veterinarian. Your puppy will need a yearly booster and current Rabies (usually every 3 years after the first booster).
If the Seller determines that the Buyer is not suited for a shih tzu puppy for any reason, the Seller has the right to cancel the sale before the delivery of the puppy. The Buyer’s deposit will be refunded upon cancellation.
Buyer also agrees and understands that the size and color is only an estimated idea depending on previous repeat litter or size of parents. There is no guarantee as to how big or small or what color the puppy will be at adult full grown age.
Spaying/neutering of this puppy is recommended.
If for any reason, at any time, Buyer is not able to care for or cannot keep this puppy/dog, Buyer must give Seller first option to take puppy/dog back. This is to ensure that the puppy will not be passed from one family to another without my knowledge or does not end up in an unwanted situation, shelter or rescue. No dog deserves to be dumped in a shelter or feel unwanted.
All puppies are sold with limited registration unless prior arrangements for full registration have been made. Limited Registration means the dog is not to be used for breeding. Limited Registration means the dog will be ineligible to be entered in a breed competition in a licensed or member dog show.
This contract is non-transferable and void if a puppy changes ownership from Buyer stated above. Failure of the Buyer to comply with any condition of the Agreement will relieve the Seller of any obligation to the Buyer.
Page 3 of Health Guarantee and Contract
I have read this contract, understand fully, and will abide completely in order to keep this guarantee in full effect.
Name: _________________________________________________
Address: __________________________________________________________________
City:_______________________________ State:_______________ Zip:________
Phone: _______________________________
Email: _________________________________________
Signature of Buyer: ____________________________________ Date:_____________
Signature of Seller: ____________________________________ Date: _____________
Gail Wilson
Phone: (828)505-0086
Email:
Please feel free to call or email me if you have any concerns or questions.