Page 1 of 6 SAM Southern Alpha Manor 305 W. LD Lockett Road Colleyville, Texas 76034 mccraryannestacy@gmail.com Application for Puppy ***ONLY TO BE COMPLETED BY PERSONS 25 YEARS OF AGE OR OLDER*** New Owner Information Full legal name(s) of prospective owner(s): Physical Address & Mailing Address (if different) & county or city of residence: Phone Numbers: Home: Cell: Ages of people residing or visiting in home on a regular basis: Kennel Name and Website (if applicable): Brief description of occupation (there are certain considerations with this breed regarding long hours unattended, or jobs that require frequent travel): List pets & sex living on the property: Veterinarian s name and phone number of who will provide medical care for new puppy:
Name, relation and phone number of 2 personal references that I may call: Housing Home Ownership: a. I own my home ( ) b. I rent my home ( )* c. I live with my parents or other family member ( )* d. Military Housing* ( ) e. Other * * For those other than home owners: Do you have the permission of the owner of your home to own a Vlcak? Type of area: a. Rural ( ) b. Urban ( ) c. Suburban ( ) Type of home: a. Detached ( ) b. Townhouse ( ) c. Mobile Home ( ) d. Apartment ( ) Yard: a.6ft+ fence ( ) b. Fence under 6ft ( ) c. No fence ( ) d. Invisible Fence ( ) e.no yard ( ) Certain homeowner s insurance companies are restrictive on the breeds that they will cover. Does your insurance permit this breed? Page 2 of 6
Puppy Information What sex would you like to purchase? In general, we recommend females for families with small children or older or disabled family members, as well as less experienced dog owners. a. male only ( ) b. female only ( ) c. prefer male, but would consider an available female ( ) d. prefer female, but would consider an available male ( ) What qualities are most important to you in a puppy? Please understand that there are no perfect dogs. (Please check all that apply) a. Conformation ( ) b. Competitive training or for actual work ( ) c. Family Companion ( ) Are you willing to travel to Texas to pick up the puppy in person at 8-12 weeks of age? As of 2014, this is now a requirement per the federal Animal Welfare Act and the USDA for small, hobby breeders. 5. What diet will you start your new puppy on? (We currently feed Fromm Grain Free dry. In addition, we feed meaty bones, other appropriate raw foods, and treats. There are a variety of excellent foods on the market it is best to avoid those with corn, wheat, or soy, as they can cause dietary issues and allergy issues with this breed. Completely raw feeding (with lots of research!) is also an excellent choice. BARF and PREY models are our favorites.) Do you plan to spay or neuter your dog? Do you plan to eventually try to breed your dog (once limitations are lifted following health clearances)? Do you plan to work towards some type of training title with your dog? Page 3 of 6
What type(s)? (Examples of training types: Obedience, Agility, Tracking, Schutzhund, Nose-work, Canine Good Citizen, Therapy, Barn Hunts, Urban Mushing, Rally Obedience, Dock Diving Please keep in mind that some types of training are more difficult with this breed than others.) Where will your Vlcak spend most of its time? How will you contain your dog while you are away from home and keep it from becoming bored and destructive? If your dog develops a personality that does not fit the standard (shy, aggressive, difficult to train, etc.), will you make all efforts to find a way to train and maintain the dog? If not, will you agree to return the dog to SAM Vlcaks. Legal Stuff Will you agree to never sell or give away your dog without prior consent and approval from Stacy McCrary? Should you decide to breed, Will you agree to only breed to Czechoslovakian Vlcak s who are recorded with the AKC or FCI member country, and have satisfactory health results? Will you agree to locally license your dog, receive regular and necessary vet care, and abide by all laws regarding your new dog, and prevent your Vlcak from becoming a danger or nuisance with proper supervision and control? Have you reviewed the legal status of this breed with your state, county, city, town, etc.? (While the Vlcak is considered a dog breed by every major registry and most localities, there are at least a few places in which it is banned, based on the breed's history. If there Page 4 of 6
are any questions (especially in places where "wolfdogs" and "wolf hybrids" are prohibited, with a vague description of what those are), it is worth an email (we recommend getting approval in writing and keeping it for the future) to the governing enforcement body (such as animal control) to ensure this breed is legal. Most places have never heard of the breed, and it will be up to you to educate them. The Czechoslovakian Vlcak Club of America is currently working on materials to assist with educating local and state animal control agencies in understanding our breed.) Ownership Questions Please answer on a separate sheet. 1. Please describe why you think the Czechoslovakian Vlcak (and your expectations of the breed) is the breed most suited to you, and your needs in a dog, as opposed to other breeds. 2. Describe your family (that resides in home), and their individual interest in living with a Vlcak. For families with children (or older, or disabled family members), how will you handle the energetic, bossy and sometimes mouthy temperament of a Vlcak around your children and friends of your children? 3. Please describe your lifestyle, and how a Vlcak would be suitable within it. Include information such as hobbies, visitors to the home, travel, extended family members, etc. 4. What kind of experience do you have with dominant, active, large working breeds of dogs? 5. What other pets reside in or near the home, or visit with you, that will interact with the new puppy? How will you handle it if your Vlcak does not get along with these animals? What purpose do you have in purchasing a Czechoslovakian Vlcak (show, training, companion, breeding, etc.)? 6. What type of training do you plan to implement? What is your plan for socialization of your Vlcak puppy? How will you provide daily exercise and mental stimulation? 7. Have you ever been involved in an investigation or complaint with animals, or convicted of crimes against animals (cruelty, neglect, dog fighting, nuisance animal, Page 5 of 6
dangerous dog, etc.)? Have you ever been the subject of investigation for domestic violence or other types of violence? Do you have any substance abuse issues or mental health issues that would interfere with your capability to care for a Vlcak? If yes to any of these, please explain. Page 6 of 6