First and Last Name:
Email Address:
Phone numbers Home and Cell
Current Full mailing Address
How did you find us? (Referral from another buyer, Breeder Directory, etc.)
How soon are you looking to get a dog?
Have you ever owned a dog before? If yes, please provide details (breed, how long ago)
What happened to your previous dog(s)?
Do you have any current dogs ? Breed and ages.
How many adults are in the home ?
How many children are in the home ? Ages ?
Who will have primary responsibility for the care of this puppy? Name/age
Is anyone in the home allergic to dogs? If they develop an allergy to dogs how will you handle the situation?
Please explain where the puppy will spend his days and nights.
What plans do you have to provide exercise for an active breed like the Australian Shepherd?
Are you willing to attend group puppy training classes with this dog as a condition to purchasing one of our puppies? Yes
No
What age of dog are you interested in? Puppy (under 6 months)
Young adult (6 months to 18 months)
Adult
What areas of interest do you have for your future Australian Shepherd?
All companion puppies are sold with Limited Registration papers and spay/neuter contracts. Are you comfortable with this? Yes
No
Are you on a waiting list or have you currently reserved a puppy from another Aussie breeder? Yes
No
If yes, please list their name and kennel
When the puppies reach the age of 4wks, I require a non refundable deposit and signed contract to reserve a puppy, are you ok with this? Yes
No
Do you own or rent your home? What type of dwelling is it ?
Are you active Military ?
Do you have a fenced area or yard for the dog? If yes, what type of fence, width, height:
If not, how will you provide security for your puppy when its outside or when you're away?
Is there someone home during the day, or able to get home to "potty" a puppy?
If no, what arrangements will you have for the dogs toilet duties.
A dog of any breed is a life long mental, physical and financial commitment. Are you prepared for this level of commitment ? Yes
No
Of course we are !
Personal references. Names, Phone number
Please supply the name and phone number of your current veterinarian.
Is there anything else you would like to add ?

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