Sherri Glass

141 E. McPherson Hwy


Clyde, Ohio 43410

Phone 419-547-3647 Cell 419-355-3620







 Please print out the questionaire, complete it and either mail it to the above address or fax it to 419-547-4748




If you are seriously interested in being considered for a Stillwaters Airedale, please complete the following questionaire. We will try to match you with a puppy who will best suit your lifestyle and his or her personality.

Date of Application: ___________________________________________


How were you referred to us? ____________________________________




Your name ___________________________________________________


Address ______________________________________________________


City_____________________ Province/State _________Zip Code________


Phone # Home ________________________ Cell___________________


Good time to call _______________________________________________


Fax ___________________________Email _________________________


References: Veterinarian ___________________________________Phone_____________________


If you do not currently have a vet . .please list the last one that you visited:





Other: _______________________________________________________

Name address phone


name address phone



Family data: Are you? M_____S_____D_____

Age 20-35 ______ 36-50 ______51-75 ______ 76+ _____

Children __________ Ages __________________________

Employed: you ____________________ spouse ____________________

Retired: you ____________________ spouse _______________________

Home: urban _____ suburban _____ rural area _____

own _____rent_____

How long will the dog be left alone during the day? ___________________

Where will the dog stay? Day___________________________night___________________________

Do you have a securely fenced yard? _______________________________

Who will be the primary caregiver of this dog? __________________________

Have you ever owned an Airedale? _________________________________

Other dogs? __________________________________________________

What happened to them? _________________________________________


Have you ever given a pet away? _____ If so, what were the circumstances? _____________________________________________________________

Have you ever returned a pet to its breeder? ______ If yes, what were the circumstances?_________________________________________________

Have you ever taken a pet to a pound or shelter? _____If yes, what were the circumstances? ________________________________________________

What other pets have you had in the past and what were the circumstances of their death?____________________________________________________

What other animals do you have at home? ___________________________


Are you willing to spay/neuter this dog? ____________________________

Are you thinking of breeding your dog? _____________________________

If so, why? ___________________________________________________


What qualities about the Airedale do you like? _______________________


What behaviors would annoy you? _________________________________


How would you discipline your dog? _______________________________


Have you thought about the advantages of crate-training? ______________

Have you read books about the Airedale, or talked to someone who has owned one? ___________________________________________________


Are you considering: puppy class? ________________________________

Obedience class? ____________________________

If yes, at what age will you start training and who is the trainer? _____________________________________________________________

Are you interested in showing the dog in the conformation ring? _________

Are you interested in competition in performance events such as obedience, agility, hunting, herding, etc? _____________________________________

Have you shown dogs to any performance titles? ______________________

Are you interested in a male or female ? ________________________

Would you be interested in an adult (occasionally I place an adult)__________

Are you committed to this new dog for its lifetime? ___________________


The puppies we breed are very important to us throughout their lives.
If for any reason you are not able to keep your dog, we would expect you to contact us
so we could find him a good home.


Thank you