First name

Last name

Email Address

Address Line 1

Address Line 2

Postal code

City

Country

Date of birth (dd/mm/yyyy)

Gender Gender male female

Phone number

Website

Preferred Shikoku gender Preferred Shikoku gender male female either

coat color coat color red sesame sesame black sesame black and tan

When are you ready for a pup? When are you ready for a pup? As soon as possible Next year I'm not in a rush

What made you choose the Shikoku breed?

What are your goals with your future Shikoku pup? (keeping as a family member, training agility, going to dog shows etc.)

Are you planning te breed? Are you planning te breed? yes no maybe

Do you have other pets? if yes, can you tell us more about your pet(s)? (What kind of pet(s), other relevant information)

Have you owned a dog before? if yes, what breed(s)?

Do you have children? Do you have children? yes not yet no

Where do you live (multiple options allowed) Where do you live (multiple options allowed) house appartement I have a fenced yard I have a yard, but not fenced I don't have a yard I live close to a natural park

Who will be responsible for your future pup? (feeding, walking etc)

What do you do for a living? What do you do for a living? I'm a student I'm an employee I'm self-employed I work from home

Feel free to write anything you wish to say in this text box.