Thank you for contacting Gjnjah Tibetan Spaniels.  Please complete [copy/paste into email] the following form to be considered for a Tibbie adoption/placement, since all our dogs are sold to approved homes only.

 

 

I.               Contact Information:

 

*First Name:        ________________________

 

*Last Name:         ________________________

 

*Street Address: _______________________________________

 

*City: ______________________________________________

 

*State/Province: ______________________________________

 

*Zip/Postal Code: ______________________

 

*Country: ____________________________

 

*PHONE [Daytime]: ____________________________

 

*PHONE [Evening]: ____________________________

 

*PHONE [Other]: ______________________________

 

*E-Mail: ____________________________

 

*Website: ____________________________

 

II.            List all family members living at home [ages]:

 

_________________________________________________________________


_________________________________________________________________

 

_________________________________________________________________

 

 

III.         Do you have a fenced yard or secure environment if your Tibetan Spaniel is outside [please explain in detail]?

 

 

 

 

 

IV.          Do you have any other dogs/pets?  YES/NO

 

If YES, please provide details; how many, age, type

 

 

 

 

 

V.     Approximately how many hours per day would the puppy/dog  be left alone if you work?

 

 

 

 


VI.          Have you ever placed a pet in a SHELTER or with a RESCUE CLUB, such as the Humane Society?  YES/NO

 

 

 

 

 

VII.   Your VETERINARIANS Name, Address, Phone Number:

 

 

 

 

VIII.    Please provide TWO references with PHONE NUMBERS:

 

1]


2]

 


IX.          Would you be willing to let someone do a home visit?

 

 

X.             What gender are you interested in owning and AGE?

 

              *MALE

 

              *FEMALE

 

 

XI.          How did you find out about the Tibetan Spaniel? 

 

 

 

XII.       How did you find GJNJAH TIBETAN SPANIELS?

 

 

 

XIII.    List any other important information you think I would find useful in placing one of my Tibetan Spaniels in your care.