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Heart of Texas Alaskan Klee Kai
San Antonio, Texas

Please complete this form if you are interested in adding one of our
Alaskan Klee Kai's to your home.

Name:
Date of Birth:
Address:
City:
State & Zip Code:
Telephone Number:
E-mail Address
Alternate E-mail Address
Have you been privileged to see an Alaskan Klee Kai (AKK) in person?	Yes No
If you have seen one or more, can you share with me which dog you saw and who the owner was?
When are you interested in adding an AKK to your family?	Right Away Sometime in the near future In a few years
Do you currently Have a Veterinarian?	Yes No
Name and info if yes:
Does your veterinarian handle their own emergency care?	Yes No Unknown Do not have a vet
Do they refer to a Veterinary ER Clinic?	Yes No Unknown Do not have a vet
Have you visited that clinic?	Yes No
How did you hear about our breed and our Kennels?
What breeds have you owned in the past?
How many dogs do you own now and what breed are they?
What happened to the dogs that you no longer own?
Which breeds did you own that were not what you expected?
What were the problems that you had with that breed?
Which breeds were you happy with?
What traits did those dogs have that pleased you?
If you have children, what are their ages?
Have your children been trained in the proper treatment of pets?	Yes No Do not have children
What will be the primary quarters for your AKK?
Do you or will you have a fenced area for your AKK?	Yes No
Do you have any interest in showing your AKK in competition?	Yes No Undecided, I would like more information
Would you be willing to work with the AKK community to help educate people about the breed by honestly answering their questions about the dogs or by telling them where they can get their answers?	Yes No
Would you be willing to join the AKK breed club (UAKKA)for a minimum of one year so that you can learn more about the breed?	Yes No
What attracts you to the AKK?
Do you intend to spay or neuter your AKK if not breeding or showing? (this is required before papers will be released)	Yes No
Are you a dog breeder?	Yes No
If Yes, List all breeds that you own or co- own
Were you a dog breeder in the past?	Yes No
If yes, Which breeds did you breed or were you involved with?
Do you have any interest in breeding your Alaskan Klee Kai?	Yes No
Are you interesting in a puppy or would an older dog work for you?	Puppy Older Dog No Preference
Why do you think that your home would be a good home for an AKK?
Are all members of your household in agreement that it is time to add a dog to your household?	Yes No
If you are a renter, are there any limitations for a dog to be living there? If so what limitations do you have to abide by?
If you are a renter, is it okay with your landlord for you to add a dogto your household?	Yes No
Please indicate your preferences in an Alaskan Klee Kai: (Select all that apply)
Gender:	Male Female No Preference
Color:	Black and White Gray and White Red and White Solid White (must be altered) No Preference
Purpose:	Show/ Breeding Probable Companion Quality (must be altered) Possible other dog sports No Preference
Age:	Puppy Young Dog Old Dog Consider Rescue No Preference
Size:	Toy Miniature Standard No Preference
Eye Color is not important to us at Heart of Texas, but to many it is. If you have a preference please list it now. Note: Double Blue eyed puppies are not as available as others and you may wait longer for them
Please list two references as well as their email address.
Please list any questions that you might have
A photo ID will be required before an AKK will be provided to you whether flying the AKK to you or for you to pick the AKK in person.

This contact form was created by Freedback.