First & Last Name:
Address, City, State, Zip:
E-mail:
Best Phone number to reach you:
What are your current living conditions?
Apartment/Condo
House
Townhome
RV/Mobile Home
Trailer House
Do you own or rent your home?
Own
Rent
If you rent, do you have your landlords permission?
Yes
No
If no, please explain:
Do you have a fenced in yard?
Yes
No
If yes, how big is the area and how high is the fence? Is it chain link or privacy?
If no, please explain how you will handle potty duties:
In any living condition & regardless of a fenced in yard or not, what are your plans to channel your Aussies energy?
Where will this puppy stay while you are away from the home, such as when you are working, running errands, etc? Will puppy be in a crate in the house, left free in the house, in an outdoor kennel, garage, or other?
On average, how many hours per day will your puppy be left at home alone?
Where will this puppy sleep at night? In a crate in the house, left free in the house, in an outdoor kennel, garage, or other?
Please list first names of every member in the household along with ages of children who are under the age of 18.
Who will be the primary caretaker of this puppy?
Does every member of the household agree to adding a puppy to the family?
Yes
No
If no, please explain:
Do you currently own any other pets?
Yes
No
If yes, please list species, breed(s), age(s), and sex(es) of each animal. If applicable, are they intact or spayed/neutered?:
If you have owned dog(s) that are not currently living with you, what happened to them? Please explain in detail.
Have you ever returned a dog/puppy to it's breeder or placed a dog in a shelter/humane society?
No
Yes
If yes, please explain the situation:
What made you decide on adding an Australian Shepherd to your home? What type of research did you do on the breed?
Do you have plans to take your puppy to formal training classes, in particular puppy classes?
Yes
No
If no, please explain:
If you are already established with a training school, can you please provide name, phone number, email address & website:
What arrangements will be made for this puppy when you go on vacation?
If you are already established with a Veterinarian, can you please provide name, phone number & email address:
What is/are your main purposes for acquiring an Aussie? (Select all that apply).
Pet/Companion
Conformation
Obedience
Agility
Herding
Tracking
Breeding
If you are acquiring an Aussie for pet/companion, do you have any objections to spaying or neutering?
No
Yes
If yes, please explain:
If you are acquiring a puppy for conformation, are you willing to co-own this puppy with the breeder until a Championship is acquired?
No
Yes
If no, please explain:
If you are acquiring a puppy for conformation, or other competitive venues, have you trained a dog for this before?
No
Yes
If yes, to what training levels have you reached & what titles have you achieved?
What is your preference for color? (Select all that apply)
Black Tri
Blue Merle
Red Tri
Red Merle
No Preference
If your color preference is not available, are you willing to take a different color?
Yes
No
What is your preference for gender?
Male
Female
No Preference
If your preference for gender is not available, are you willing to take the opposite sex?
Yes
No
If you are new to the concept of raw feeding & minimal vaccines, are you open to learning more about this & following the protocol with your new puppy?
Please list any additional questions or concerns:
Thank You!