Owner Information
Dog Information
Please fill out this form to have your Shiba considered for a courtesy listing on SIRA's website. The owner of the dog must fill out this form.
Listing Information
First Name:
Last Name:
Email:
City:
State:
Home Phone:
Other Phone:
Dog's Name:
Gender:
If mix or other, please describe:
Age or DOB:
Color:
Breed:
Height:
Weight:
Spayed/Neutered?
Yes
No
Up to date on vaccinations?
Yes
No
If yes, when were last vaccinations given?
If no, what vaccinations are needed?
Microchipped?
Yes
No
If yes, what type?
Avid
Home Again
Where would you consider placing your dog?
Contact email for bio:
Contact phone number for bio (optional):
Please provide a bio to be posted about your dog. Include as much information about your dog's behavior and temperament as you can. Don't forget to say how your dog is with other dogs, cats and small pets, men/women and children. You should talk about your dog's good and bad points but make sure you keep everything positive. IE: Instead of saying, "Fido dislikes every other dog" say, "Fido would be happiest in a home where he will be the only spoiled dog."
Please upload several photos of your dog to be included on their bio page:
Microchip Number:
Select
Cell
Work
Other
Select
Male
Female
Select
Shiba Inu
Jindo
Shiba/Jindo Mix
Other
Select
Red
Sesame
Black & Tan
Cream
Pinto
Brindle
Other
