Epiphany Australian Shepherds
Puppy Application
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Age
*
Occupation
*
Do you have a veterinarian? If yes, please provide the office name and phone number.
*
How many adults and children live in your home? What are the ages of the children if any?
*
Is this puppy a surprise for anyone?
*
Yes
No
Do all members of the family agree with bringing home a new puppy?
*
Yes
No
Who will be primary caregiver of puppy?
*
Please provide breed, ages, and genders of any other pets owned.
*
Have you ever given a dog away, rehomed one, or taken one to the shelter? If yes, please explain.
*
If the need to rehome this dog at any time arises, do you agree to return the dog to me?
*
Yes
No
Maybe
Do you own or rent your home? If you rent do you have consent from your landlord to own a dog? Select all that apply.
*
Own
Rent
I have permission
I do not have permission
Do you have a fenced in yard? If yes, what type of fencing. If no, how do you plan to potty and exercise puppy?
*
Where will the dog live?
*
Inside
Outside
A combination of both
Where will the dog stay when you go out of town?
*
How many hours during the week will the puppy be left alone? And, where will puppy stay during that time?
*
Do you plan to crate train puppy? If no, please explain why not.
*
Why do you want an Australian Shepherd?
*
What do you expect your puppies temperament to be like? (Ex: Loves everyone, anti-social etc)
*
What areas are you interested in pursuing with your new Aussie? Select all that apply and feel free to add any other option.
*
Couch Potato
Hiking Companion
Conformation
Basic Obedience/Trick Dog
Agility
Competitive Rally/Obedience
Herding
Dock Diving
Barn Hunt
Scent Work
Fast CAT/CAT
Therapy Dog
Service Dog
Just fun classes
Other
Do you want to breed your Aussie?
*
Yes
No
Maybe
Which gender do you prefer?
*
Male
Female
No preference
Which color do you prefer? Select all that apply.
*
Blue Merle
Red Merle
Black Tri
Red Tri
No preference
Would you consider a puppy of another color or gender if your preferences aren’t available?
*
Yes
No
I would on gender, but not color
I would on color, but not gender
When are you hoping to add an Aussie puppy to your family?
*
Within 6 months
6 months-1 year
1 year- 2 years
2+ years
At Epiphany Aussies, the breeder pairs puppies with individuals/families based on temperament, herding, and structural evaluations at 8 weeks of age. Are you okay with not picking your puppy, but having the puppy selected for you by breeder (with all of your preferences in mind, but temperament first and foremost)?
*
Yes
No
Maybe
Are you willing to stay in contact via phone, email, and/or social media?
*
Yes
No
Maybe
How did you hear about Epiphany Aussies?
Please include any additional comments or questions you may have here.
Submit
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