Today's Date:

Name:

Email Address:

City, Province (or state) and Country

Telephone Number:

Website URL (if available):

Do you own or have you owned any other pets?  If so, please tell us how many, what type(s) and their ages.  Also if you no longer have your pets what happened to them?

Do you currently own a Whippet?  Or have you previously owned a Whippet?  If so please tell us about them?

How did you become interested in Whippets?

What characteristics attracted you to the Whippet (include any other reasons you want a Whippet)?

Have you met any Whippets?

Have you talked to any other Whippet breeders?  Or have you done any research on the breed?  If so please tell us who you've talked to and what research you have done.

Where will your Whippet primarily live? (Choose Your Answer)

Indoors Outdoors

Are you interested in a male or female Whippet?

Male Female Either

What age of dog are you interested in? (Please check all that apply)

Puppy (up to 1 year)    Young Adult (1-4 years)   Older Dog (4 years and older)

Do you plan on breeding your Whippet?

No Yes

Do you have a fenced yard?

yes no

Please list any other information you would like to share about your home? (Do you live in a house, apartment, acreage, etc.)

What activities are you interested in participating in with your Whippet? (Please check all that apply)

Conformation Showing    Coursing    Agility    Obedience

Other: 

Or if you just want a Whippet as a companion and don't plan on participating in any other activities, please check here. 

How many hours a day are you gone?  And where will your Whippet be kept while you are away (i.e.. crated, loose, etc.)  Also include whether someone is home during the day or not.

How many members are in your family?  Please list all members & ages.

Please include any other information that you would like to share