Application form

Full Name of you and your spouse if applicable.*

First NameLast Name

Age

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

How did you hear about Classic Creek Aussies & Miniature American Shepherds?

Which litter are you inquiring about? If you know the parents names please list here.

What time frame are you looking to bring a puppy into your home?

ASAP2 months6 months1 year

Do you live in a:

Do you:

OwnRentLive with ParentsOther

Household Setting

RuralSuburbanUrban

Describe your Homes Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Do you have any children/grandchildren that live with you or visit? If so what are their ages?

Are all members of your household comfortable around the presence of a puppy that could nip, jump and chew during the training stages?

YesNo

What is you and spouses occupation?

Does Anyone in your Household have Allergies to Animals?

YesNo

Are all members of your Family agreeable to a new puppy?

YesNo

Please List any Pets you have (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines.*

If you don't have any dogs now please tell me about your exposure to dogs and ownership.

Do you have a preference in sex of your puppy?

MaleFemaleNo Preference

Do you have a color preference for your puppy?

YesNo

If you do have a color preference what is it and are you flexible ?

Do you plan to spay/neuter your puppy?

YesNo

Our pups are typically sold on a no breed contract, is that a problem?

YesNo

As mentioned above we don't typically sell breeding rights but if you would like to request them please tell us why? Leave blank if not applicable.

In the past 5 years have you had to part with any pet.

YesNo

If yes please explain the circumstances.

Do you agree to crate training your puppy? If not please tell me why.

YesNoOther

Are you open to puppy classes if needed?

YesNo

Do you have a fenced yard?

YesNoPartial

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

Where will your puppy be kept when no one is home?

How many hours in a day would the puppy be left alone?

What are your plans to exercise your puppy? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility.

Do you have any plans for your Aussie? Therapy dog, Agility, Trick dog, Rally O, Herding, Family Companion ect.

What made you decide on the Aussie Breed and do you have any experience with the breed?

Vet Reference: Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the void of this application.

I certify that the above information is correct, and I understand that the information will be verified.

Date

MonthDayYear

Your name*

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