Date Submitted:

Part I.  You and Your Home

1.  Please provide your name, mailing address, contact phone number(s), and email address:

2.  Employer:

3.  Years with present employer:

4.  Single-family home, condo, apartment, or other:

5.  Do you own or rent?
(Note, if you rent, you must provide a copy of your lease that shows you have permission to have a large dog at this address.)

6.  For each person living in your home, please provide name, relationship to you, and ages of those under 21.

7.  Please describe your yard and fencing on your property:

8.  Who will be the primary servant/caretaker of the Chinook?

9.  Where did you learn about Chinooks?  Who in the household has initiated the search for a Chinook?

Part II.  The Animals in Your Life

1.  Please describe the animals that presently live in your home:

2.  How many dogs have you owned in your life?  (Note, being new to dogs is not a negative as we all have to start somewhere.)

3.  For each of the dogs above, if it not still living with you, please let us know what the circumstances were.  For example, passed away, had to be re homed, etc.
(Note that giving up a dog for various reasons is not a negative.  I have had to give up dogs myself for various reasons over the years.)

4.  Have you raised a puppy from eight weeks of age before?

5.  Have you adopted an older dog before?

6.  What problems have you encountered with your dogs over the years and how did you handle these problems?

7.  How have you trained the other dogs in your life?

Part III. Why a Chinook?

1.  Have you met Chinooks and their owners?  If so, please tell us about this experience. 
(Note, if you have not yet met a Chinook, we will ask you to visit someone in your area so that you can meet the dog, talk with the owners, and decide if this is really the breed for you.)

2.  Why do you want a Chinook?  What personality traits do you hope your Chinook has?

3.  How many hours a day will your Chinook be alone while family members are at work and school?  How will you contain your Chinook during this time?

4.  Do you have  a preference for a male or female?  If so, please explain:

5.  Do you have any other preferences?  If so, please explain:

6.  Do you have a veterinarian lined up for your Chinook?  If so, please provide clinic contact information:

7.  Do you have a training facility where you can take classes with your Chinook?  If so, please provide the contact information:

8.  Are you willing to have OFA x-rays and a CERF  eye exam done when your Chinook is two years old?
(Note, OFA x-rays will cost about $175 and a CERF eye exam is less than $50.)

9.  Are you willing to keep your Chinook intact so it can be evaluated for future breeding potential or do you want to spay/neuter your Chinook?

Part IV.  Activities With Your Chinook

1.  What do you plan to do with your Chinook for exercise -- both mental and physical -- on a daily basis?

2.  Are you interested in any of the following activities?

• Sledding/Skijoring
• Carting
• Rigging/Scootering
• Weight Pulling
• Obedience
• Agility
• Herding
• Assistance/Therapy Work
• Search and Rescue
• Flyball
• Hiking/Backpacking
• Other? (please describe)

3.  Describe a typical day in the life of your Chinook:

Part V.  Breeding and Showing Your Chinook

If you are looking for a Chinook that you can spay/neuter, please skip this section and go to section VI.

1.  Are you interested in:

• showing your Chinook in local conformation shows?
• breeding your Chinook?
• don't know but will consider?

2.  Are you prepared to share the breeding rights and decision making with Laughing Mountain Chinooks?

3.  Are you willing to travel to UKC conformation shows so that your Chinook can be evaluated by judges?

4.  Have you lived with an unspayed female dog before?

5.  Have you raised a litter of pups before?

6.  Have you lived with an intact male dog before?

7.  Are you willing to take on the expenses of raising a litter?  (You will NOT make a profit!)

8.  Describe why you would like to be involved in showing and breeding Chinooks?

Part VI.  The End

1.  It is a good idea for you to talk with multiple Chinook breeders.  If we don't have enough pups that we can place one with you, would you like us to pass your application on to other breeders who might be expecting a litter?

2.  Which other Chinook breeders have you talked to about pups?  Are you on the waiting list of any of these breeders?

3.  What else would you like us to know about you, your family, and why you would be a good home for a Chinook?