Ohana Amstaffs & Aussies

Ohana Amstaffs & Aussies

Puppy Application
Please answer the following questions accurately to the best of your ability.
Personal Information
Name *

First Name Last Name
Age *
Email *
example@example.com
Occupation *
Are you an active military family? *

Yes, we live off base we will not be leaving the US. Yes, we live on base and we will not be leaving the US. Yes, we may need to move overseas. No
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Does your city have Breed Specific Legislation (BSL)? *

Yes No
Miscellaneous Information
How many people are in your household? *
Does everyone agree to adding a new puppy to the home? *

Yes No
What are their ages? *
Do you have other pets? *

Yes No
If yes, please list how many, age, breed, gender, if altered *
Do you rent or own your home? Proof will be required. *

Rent Own
Landlord Name & Phone Number
Veterinarian Name & Phone Number *
Breed Information
Have you owned an Amstaff or Australian Shepherd before? *

Yes, Amstaff Yes, Aussie Yes, Both No
What is your experience with the breed? Why do you want an Amstaff or Aussie puppy? *
What kind of puppy are you looking for? *

Show Prospect Pet Only Performance Breeding Other
What type of registration are you hoping for? *

Full Registration (show, breeding, performance) Limited Registration (pet, performance)
Please explain if you selected 'Other'
Do you have a fenced yard? *

Yes No No, but we will be putting one in.
If you do not have a fence, how will you ensure your dog will be safe? (Keeping your dog away from predetors, other loose dogs, humans, prevent from free roaming) *
I am most interested in *

Male Female Either
Is there a specific puppy you're interested in? *
Where will the dog stay during the day? *
Where will the dog stay during the night? *
How many hours per day will the dog be left home alone? *
Have you ever returned a dog to a breeder? If so, what were the circumstances? *
Have you ever surrendered a dog to a shelter? If so, what were the circumstances? *
Have you ever been charged with animal abuse? If so, what were the circumstances? *
How did you hear about us? *
What made you choose Ohana Amstaffs & Aussies? *
Personal References
Reference 1

First Name Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference 2

First Name Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
I, the applicant,certify that the above questions were answered to the best and fullest of my knowledge, and that all the questions have been answered truthfully.
Electronic Signature *
Date

Month Day Year
Date
Hour Minutes AM/PM Option
I reserve the right to deny anyone whom I feel is not the best home for one of my puppies. All homes will be required to complete this questionnaire prior to being approved for a puppy from Ohana Amstaffs & Aussies.
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Ohana Amstaffs & Aussies

Personal Information

Miscellaneous Information

Breed Information

Personal References