Puppy Questionnaire

Your Name

First NameLast Name

Date of Birth

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

What age dog are you interested in obtaining?

Are you wanting a Male or Female puppy?

What are your preferences? (We cannot guarantee we will have one in our litters, please understand and be open minded when applying for a puppy)

Do you have a color preference?

Please describe any physical attributes that are of particular importance to you in the puppy/dog you are seeking at this time?

Have you ever owned a Australian Cattle Dog

For each dog you currently own, please list the following: Name – Breed or mix – Sex – Age – Is pet spayed or neutered?

Do you have other pets? If yes, please list.

What activities are you and your puppy/dog going to be involved in?

If "Other" above, please tell us more about the plans you have for your puppy/dog:

Tell us a little about yourself (occupation, family, hobbies)

Are you interested in Full/Breeding rights or Limited/Pet only rights?

Are you willing to Co-own a puppy/dog? For co-ownership agreements, female puppies are often placed with return puppies to back to us -out of approved studs, and male puppies are often placed with return stud services to us

Do you understand the meaning of Limited/Pet and Full/Breeding rights?

Are you willing to Spay/Neuter?

Do you understand our puppies will cost $1000-$2500 once you're approved?

Do you understand you will be required to sign contract of terms for Spaying/Neuter or Show/Breeding rights?

Which are you looking for? (Please note: type of Registry will be listed under each individual dog or litter)

How would you describe your household activity level?

Where will the puppy/dog live? Where will your puppy/dog stay during the day? Where during the night?

Have you crate trained a puppy before?

Are you willing to take the puppy to puppy socialization class?

Tell us about where you live. Are you in a city or a more rural area?

Do you own or rent your home?

Do you live in:

If other, please specify

If you rent, a signed letter from your landlord stating that dogs are permitted on their property must be received before a puppy is placed with you. The breeder reserves the right to contact the landlord before placing any puppy. Please provide your landlord's contact information:

Do you have a fenced in yard?

Are you acquiring a puppy/dog for yourself or for someone else? If for someone else, are they aware of your intentions, or is the dog to be a suprise?

How many members are in your family? Names and ages, relations? Any children?

As the breeder, it is important for me to keep track of all my dogs that have been placed. Are you willing to work with us to stay in contact regarding the development of your puppy?

Have you ever given a dog away and why?

If you were to move, what would happen to your puppy/dog?

In the event of emergency (e.g., hospitalization, natural disaster, etc), who would take care of your dog?

Have you or anyone in your household ever been charged with animal cruelty or had any animal taken away from you or any member or your household for suspicion of animal cruelty? If yes, please explain.

Are you applying for a specific planned breeding or puppy/dog? If so, please list which one below:

What timeframe are you looking to add a puppy/dog to your home?

Do you have a veterinarian, please provide address, and contact information below

Do you have any questions for us or any other relevant information you would like to provide?

Do you understand if you're applying for a waitlist to a litter not born yet, that once approved to list you'll be required to submit a waitlist non-refundable deposit of $50? (Transferable to any planned litters)

Please verify that you are human.