Puppy Questionnaire

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Name *

Email address *

Phone *

Address (Street, City, State, Zipcode) *

How did you hear about us? *

When were you wanting to add a new family member?

Color-Please indicate your preference(s)

Black Tri
Blue Merle
Red Merle
Red Tri

Do you want a female or male? *

Female
Male
Either

What are the ages of all who live in the home?

As stated in your contract, do you agree that, if you have to rehome this dog, you will contact us before hand. We get first rights to the dog and/or must approve new home? *

Yes, I agree

What type of home do you live in - house, apartment, duplex, townhouse, farm, etc.?

Where will the dog be when no one is at home?

How many dogs do you have now? What breeds?

Have you owned Australian Shepherds before? If so how recently?

What type of temperament best suits your life?

Do have a fenced secured yard?

How large and of what type is the enclosure?

Where will the dog sleep at night?

Our puppies are not sold with breeding rights. You cannot breed this dog. Are you okay with this? *

Are you aware of some of the health problem which can appear in some Aussies today such as medication sensitivities?