White Magic Samoyeds

Samoyeds are the world's best-kept secret.

Puppy Application

We appreciate your taking the time to complete and return the following form. Detailed information regarding your lifestyle and experience with dogs helps us in selecting the right puppy for you and your family. Please fill in the form below.

Contact Information
* First Name:
* Last Name:
2nd Contact Person:
* Street Address:
* City:
* State:
* Zip Code:
* Home Phone:
* Work or Cell Phone:
* Email Address:

Interview
* Have you ever owned a dog before?
* If yes, what breed?
* What other animals live in your house?
What is the most important reason(s) for purchasing a Samoyed? (check all that apply):


If other, please specify.
* Do you prefer a male or female puppy/dog?

Family Profile
What is your marital status / living arrangement? (choose best fit):
* Number of children in household and/or who visit on a regular basis (include their ages):
* If you don't currently have children, are you planning to start a family in the future?

Property Profile
* What type of area do you live in?
* Is your yard fenced?
* Fence type?
* Fence height?
If you do not have a fenced yard, where & how will the dog be exercised & be allowed to eliminate?
* Do you have a deck?
* Is there a railing?

Arrangements
* Will the puppy/dog be kept:
If other, explain.
Where will the puppy/dog sleep at night?
Where will the puppy/dog be kept when there is no one at home?

Additional Information
Please add other information that would be helpful in placing a puppy with you:



Thank you for your interest in White Magic Samoyeds.