Puppy Application Form

We appreciate those that are serious about purchasing a quality Chinese Shar-Pei, therefore, we request you answer the applicable information below. Puppies sold by JI-TE HOUSE OF SHAR-PEI will include the following:
dew claws removed
micro chipped
vet checked and vaccinations to date
house training and puppy socialization
signed contract
written guarantee
  or  registered in new owners name(co-owner if applicable)

Ji-Te stock available, furture breeding information, expected cost, etc., can be viewed at:  We at Ji-Te House have taken several years and careful steps in our breeding program to produce a healthy companion and breeding quality Shar-Pei that we do not hesitate to have shown or compete with the best in Chinese Shar-Pei. Our stud, "MARK" was #1 at the Canadian National Specialty in 1995 and has produced Best Puppy in Show(#1Mark and Margie Litter) and most recently, #2 in the World Jr. Championship (1999) at the World Dog Show in Mexico City.

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** (indicates "if applicable")

Part 1

NAME: MR./MRS./MS. 

ADDRESS: 
How long have you lived at this address: 

**KENNEL NAME: 

CITY/PROV/STATE: 

POSTAL/ZIP:

YOUR E-MAIL: TELEPHONE: 

**YOUR WEBSITE: 

IS YOUR HOME:Single Family  Duplex
Apartment  Condo

IF RENTED, PLEASE PROVIDE THE INFORMATION OF THE HOME OWNER:
**NAME: MR./MRS./MS. 

**ADDRESS: 

**CITY/PROV/STATE: 

**POSTAL/ZIP:   **TELEPHONE: 

Are you presently an active breeder of the Chinese Shar-Pei?:         YES    NO 

**Litters per year:    1-3   2-4 

Other breeds you own and how many:

Other animals you own:
Co-own:

If you owned an animal in the past, but do not own it now, what happened to it?

Clubs you belong to:

DO YOU HAVE A FENCED IN YARD?       YES      NO 

IS SOMEONE USUALLY HOME DURING DAYTIME HOURS?       YES      NO 

HOW LONG WILL THE ANIMAL BE LEFT ALONE? 

WHERE THE DOG WILL BE KEPT?   Inside with family     Outside Kennel 
 

DO YOU HAVE A PREFERENCE IN THE SEX OF THE DOG?:
Male   Female   No Preference 

COLOR THAT IS PREFERRED
Red/Red Fawn   Black  Light Fawn  Dark Fawn Other  No Preference 
 

WHAT IS YOUR MAIN REASON FOR WANTING A SHAR-PEI? (please check one..if more than 1 is checked, explain:)
1)    Companion only   Are you willing to spay/neuter before 6 months of age? Yes   No   If no, explain 

OR

2)    Companion/Show/Breed

Please complete if you have checked Companion/Show/Breed

I wish to purchase outright. All breeding rights included (only under special circumstances will this be considered ) Yes  No 

I am willing to co-own with the breeder until all breeding obligations are met?Yes  No 

Breeding obligations/rights may include: (hips to be OFA clear before breeding and JI-TE House may insist upon a Championship title before breeding)

My breeding experience of dogs would be classified as:  No previous litters  1-2 litters whelped  3 or more litters whelped

My showing and handling experience would be classed as: Novice Beginner Experienced

I am willing to show or have this Shar-Pei shown in a conformation show ring.   Yes   No 
 

I am interested in having JI-TE HOUSE train/show/ and receive a Canadian Championship title on my show/breed puppy. Yes   No 
(cost of this will be approx. $750.00 US with  50% of this amount paid before the puppy begins being shown at 6 months of age. )

ARE YOU WILLING TO PLACE A DEPOSIT ON A Companion/Show/Breed   PUPPY THAT MEETS WITH YOUR EXPECTATIONS, AS NOTED ABOVE IN PART 2. YES NO  (up to a 50% deposit may be requested depending on how long after 12-14 weeks you wish the puppy to stay here at JI-TE)

IN THE EVENT A PUP IS NOT IMMEDIATELY AVAILABLE, DO YOU WISH TO BE PLACED ON A WAITING LIST AND NOTIFIED WHEN A PUPPY MEETING YOUR NOTED CHOICES, BECOMES AVAILABLE? A deposit may be requested. YES NO
 

Date:
 
 
 

Thank you 

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