Regal Shilohs Puppy Application

Thank you for your interest in a Shiloh Shepherd puppy from Regal Shilohs. In order to meet our initial requirements, you must:

This form is a Puppy Application -- not an agreement to purchase a puppy. Your completed application will provide the information we need to eventually select the best puppy for you, one who will fit in well with your family, lifestyle and expectations. The completion of this application is the first step for us to get to know you, because as your breeder we will be working together very closely over the coming months and years.

Please complete this Puppy Application in full.


Section 1

Name: *Required Field


City: State/Province: ZIP/Postal Code: Country:

Home Phone (with area code): *Required Field

Cell Phone (with area code):

Email Address: *Required Field


Section 2

If employed, list your employer :

Work Phone:

If you rent or live with parents, provide landlord or parents name:

Landlord or parents phone number (with area code):

If you've been at your current address less than 1 year, please list previous address and how long you were there:

Please give a detailed description of your current home:


Section 3

Are you interested in a:  

Your coat length preference is:  

I intend to crate train my puppy:  

I am interested in a pet and plan to spay/neuter:  

I am interested in showing or possibly breeding:  

If you are interested in showing or possibly breeding, please detail any experience you may have;

Where will your puppy spend the day? (Describe in detail)

Where will your puppy spend the night? (Describe in detail)

How many hours per day or night will your puppy be left alone?


If you are interested in showing or possibly breeding, please detail any experience you may have;

If so, please describe this training experience in detail:




Section 4

List all household members and their ages:

Member 1:

Member 2:

Member 3:

Member 4:

Member 5:

Member 6:

Do you expect to have (additional) children:  

Please describe if anyone in your household has special needs or physical restrictions:



Who will be primarily responsible for the daily care (exercise, feeding, training and grooming) of your puppy:

Age of primary caregiver?
Who will be responsible in the absence of the primary care giver?

Age of secondary caregiver?

List any pets/livestock you currently have, including their gender, age and breed(s):

Pet 1:

Pet 2:

Pet 3:

Pet 4: -

Pet 5:

Do any of your current pets have any existing medical conditions? Please describe as accurately as possible:


If so, describe the type of dog(s) you've had, how long you've had them and the reason you no longer have them:

Who is your current Veterinarian? (Name, address, phone number)

If this is your first pet, what veterinarian do you plan to use? (Name, address, phone number)


Section 5

How did you find Regal Shilohs? Eg. a specific magazine, online, word of mouth, etc...

Where and when did you discover the Shiloh Shepherd breed?

Why have you decided upon a Shiloh Shepherd puppy?

Do you agree to comply with the required health testing once your dog has reached the age of two?


Please use the space below to supply any additional comments or information you'd like to share with us: