Your name Your email address
Have you ever owned an OES? YesNo   If yes, How Long?
Other Dogs? Yes No  If yes, what happened to the dog?
Why do you want an OES?
Who is living in the house? Please list: Adults   Children Ages
Other Animals in your home? Please list breed, age, spayed or neutered:

Do you have a fenced yard? Yes No  If Yes: Type: Height:
Who will take responsibility for the dog?
Is someone home during the day? Yes  No  Inside/Outside Dog?