Name:*

Address:*

Phone:*

Email:*

This is so that we can gauge an idea about the property you are living in and if it is safe an secure for a new puppy.

Do you live in:

Do you:

If renting please provide your landlords details:

Do you have a fenced yard?

What type of fencing do you have on the property?

How large is your yard?

If you do not have a fenced yard, how will you handle the puppies exercise?

Please list the members of your household. (eg. parents/siblings/children)

House Activity Level:

What are the ages of the children (if any)?

Does anyone in the household have any allergies to animals?

If yes, how strong are the reactions?

Are all members of your family in agreement to owning a dog?

Do you own other dogs or pets?

Pet Species

Pet Breed

Pet Age

Pet Gender

Is your pet nuetered

Please provide the details of your vet. (If applicable).

We do understand that you may not have a vet on call if you have never owned or have just recently moved, but if we feel it necessary, we may follow up with an email to find out why this field is blank.

Vet Phone

Vet Email

Vet Address

Have you owned an Aussie before?

Why have you chosen this breed?

What do you consider to be a valid reason for giving up a dog? Have you ever given up a dog?

What kind of training/activities have you done with preious dogs? Would you go to puppy classes with your puppy?

Will the puppy reside in the house?

If you work, how will the puppy spend its days?

How will the puppy spend the night? Crated or uncrated?

How many hours on the average will the dog spend alone per day?

What do you plan to feed your puppy?

Do you plan to immunize your dog according to your vet's recommended schedule?

What is your preferred gender for a puppy?*

Unfortunately we cannot garuntee that you will get your preferred gender.

What is your preferred colour?*

Unfortunately we cannot garuntee that you will get your preferred colour.

What are your plans for your dog?

Any additional comments you would like to make?