Your Name (Required):
Your Street Address:
Your City, State, and Zip :
Your E-Mail Address (Required):
Phone Number :
occupation:
Personal reference: Name address and phone number. How you know this person?
How did you find our site? (Breeder Directory, search engine (which?), another Aussie site (who?), a friend, etc.)
What got you interested in the Australian Shepherd?
What color do you prefer?
Would you consider a puppy of another color if your color preference is not available?
What gender are you interested in (male/female/either)?
Would you consider a rescue dog?
Have you ever had an Australian shepherd?
If you haven't owned an Aussie before, what other breed of dog have you owned?
Are you looking for a performance/pet quality (requires spay/neuter) or a show/breeding quality (requires co-ownership and the dog to be shown)?
What are you interested in doing with your Aussie? (Obedience, rally, conformation, breeding, herding, agility, etc.)
What plans do you have for this Aussie?
Have you been in contact with any other Australian Shepherd breeders?
If yes, who? List name and kennel name.
Do you have children?
Do you live in: Apartment... Townhome... Single-Family Residence...Other
Do you rent or own your residence?
If you rent: Do you have your landlord's permission to keep a dog?
Landlord's Name & Phone (area-code) xxx-xxxx
Do you have a fenced (totally enclosed) yard?
If not, how will you provide security for your puppy when it's outside or when you're away?:
How tall is your fence?
Where will the puppy sleep?
Are you planning on attending obedience training with this dog?
Where do you train your dogs?
Do you still own the dog(s) mentioned above?
If not, what happened to the dog(s)?
Who will have primary responsibility for the care of this puppy?
Do all family members agree on the addition of an Aussie to the family?
If not, who is not in favor of getting an Aussie and why?
Please give us the name, address, and phone number of your vet:
What type of personality are you looking for in your dog?
Have you done a lot of research on the breed and know what you are getting into?
Please give us any other information you think will help us get to know you and your needs with respect to placing a puppy most suited to your family/lifestyle: