Ohana Amstaffs & Aussies

Ohana Amstaffs & Aussies

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

First NameLast 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

CityState / Province

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

YesNo
Miscellaneous Information
How many people are in your household?*
Does everyone agree to adding a new puppy to the home?*

YesNo
What are their ages?*
Do you have other pets?*

YesNo
If yes, please list how many, age, breed, gender, if altered*
Do you rent or own your home? Proof will be required.*

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

Yes, AmstaffYes, AussieYes, BothNo
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 ProspectPet OnlyPerformanceBreedingOther
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?*

YesNoNo, 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*

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

First NameLast 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

MonthDayYear
Date
Hour MinutesAM/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.
Should be Empty:

Ohana Amstaffs & Aussies

Personal Information

Miscellaneous Information

Breed Information

Personal References