Please fill out the following questionare to request a place on our waiting list for puppies. Once submitted you should receive either a call or email from Joe or Terrie along with a puppy reservation form. This form is then to be returned along with a $200.00 nonrefundable deposit. The order in which we receive deposits, is the order in which you "pick" your puppy.

 

Name:
Email:
Phone:
Location:
Have you ever owned an Akita before?	Yes No
If yes where did you purchase it from
Do you still have it	Yes No Not Applicable
If not, what happened
Do you have any children	Yes No
If yes, what are there ages	1-5 6-10 11-16 17+
What other animals live in your household
Why have you chosen the Akita breed
What are your goals and expectations of your Akita
Where will the Akita be spending most of it's time
How large is your yard
Is it fenced in	Yes No
Do you have an outdoor kennel	Yes No