Our Prices and Policies
Name: _________________________________________________________________
Address: __________________________________________________________
City/State/Zip: _____________________________________________________
Email Address: ____________________________________________________
Phone Number: ____________________________________________________
How did you hear about us? _________________________________________
Have you ever owned an Australian Shepherd before? Yes or No
What made you decide to purchase an Aussie?
Which do you prefer? Male / Female / Either
Why?
Do you have a color preference? If so, what color?
Would you consider a puppy of another color or sex if your preferences are not available?____________________________________________________________________________________________________________________________________________________________
Do you plan to participate in any of the following activities with your aussie? (Check all that apply) Conformation
Obedience
Agility
Herding
Tracking
Flyball
Therapy
Breeding
Companion only
Other:
If you are not planning on breeding or showing, would you be willing to have your Aussie spayed or neutered? Yes or No
All our pet/companion puppies are sold on ASCA/AKC limited registration and spay/neuter agreements. Do you have a problem with this? If so, why? __________________________________________________________________________________________________________________________________________________________
What other breeds of dog have you owned? (If you haven't owned a dog before, please state) _________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you still own the dog(s) mentioned above? If not, what happened to the dog(s)? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you currently own any other animals (non-canine) If yes, please list them below: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
If you currently do not own any dogs, can you tell me about your past exposure to dogs and dog ownership?
Do you have children? Yes or No
If yes, please list their ages below and give a brief idea of their exposure to dogs:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What are your plans for housing and exercising your Aussie?__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How much do you expect to pay for your Aussie puppy? ___________________________________________________________________________________________________________________________________________________
Have you spoken with any other Aussie breeders? If yes, please list them below:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Are you currently on the waiting list for any other litters? Yes or No
If yes, with which breeder(s)? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you own or rent your home?
If renting, do you have your landlords permission to keep a dog?
Do you have a totally enclosed fenced in yard? Yes or No
Fence height and type?
Where will this dog spend the day? (Check all that applies)
Loose indoors
Crate
Basement
Garage
Fenced yard
Kennel run
Loose outdoors
Other:_______________________________________
On average, how many hours alone will this dog spend alone?
Where will this dog spend the night? (Check all that applies)
Loose indoors
Crate
Basement
Garage
Fenced yard
Kennel run
Loose outdoors
Other:__________________________________________
Have you ever given away a dog to a friend, family or shelter? Yes or No
If so, why?_____________________________________________________________________
What type of personality are you looking for in your dog? __________________________________________________________________________________________________________________________________________________________
Please list two references (Veterinarian, person active in dogs or close acquaintance preferred) Please include a phone number and email address.
___________________________________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________