Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
How did you hear about us?
*
Have you ever owned a Sheltie before?
*
Yes
No
Why have you decided to purchase a Sheltie?
*
Do you prefer a:
*
Male
Female
Undecided
Do you have a color preference
*
Sable
Blue
Tri-Color
Bi-Black
Bi-Blue
For what purpose(s) are you purchasing a Sheltie (please check all that apply):
*
Family Pet
Obedience
Conformation/Show
Agility
Other
If Other please specify
*
Do all family members want a new puppy?
*
Yes
No
Do you have young children?
*
Yes
No
Ages?
*
Who will train the puppy?
*
Who will be in charge of the puppy's care?
*
Do any family members have allergies to dogs?
*
Yes
No
Do you live in a:
*
House
Apartment
How would you describe your area?
*
Urban
Suburban
Rural
Where will your Sheltie be kept during the day?
*
House
Dog run with doghouse
Yard with doghouse
Combination
Other
If Other please specify
*
Where will your Sheltie be kept at night?
*
House
Dog run with doghouse
Yard with doghouse
Combination
Other
If Other please specify
*
Would you consider tying or chaining you Sheltie outside?
*
Yes
No
Will your Sheltie have direct access to the house or next to the house?
*
Supervised entrance
Dog door
Do you have a securely fenced yard?
*
Yes
No
Kind, Height and Size?
*
Do you have a kennel run?
*
Yes
No
Do you have a crate?
*
Yes
No
Will your puppy be raised as a member of your household?
*
Yes
No
Are you willing to spay/neuter your Sheltie?
*
Yes
No
If no, why?
*
Do you currently own any other dogs?
*
Yes
No
If yes, please list breeds and ages
*
Any other pets?
*
Yes
No
If yes, please list types and numbers
*
Have you ever euthanized a dog before?
*
Yes
No
If yes, why?
*
Since Shelties are high maintenance care dog are you able to clean ears, eyes, brush coat, and trim nails on a regular basis?
*
Yes
No
Is your Vet familiar with Shelties and willing to consult with our Vet if needed and us in regards to care?
*
Yes
No
Have you ever completed an AKC or UKC title?
*
Yes
No
Which disciplines have you completed titles in? (Select all that apply)
*
Obedience
Breed
Agility
Tracking
Other
Please list titles obtained:
*
What type of personality are you looking for in your puppy?
*
Have you considered an older dog instead of a puppy?
*
Yes
No
What do you expect the activity level of the Sheltie to be?
*
High
Moderate
Below average
What kind of floor surface will the dog be on in the home?
*
Tile
Linoleum
Carpet
Wood
Smooth surface with throw rugs
Other (please specify)
Have you ever housetrained a dog before?
*
Yes
No
Have you ever returned a pet to a breeder?
*
Yes
No
Have you ever given a pet away?
*
Yes
No
If so what were the circumstances?
Have you ever taken a pet to a dog pound or animal shelter?
*
Yes
No
If so what were the circumstances?
Are you committed to care for this dog's needs for his lifetime?
*
Yes
No
Do you understand that the puppy purchased from us will receive a Limited Registration (except those placed in show homes that will be shown)?
*
Yes
No
Are you willing to sign a written contract, if you are approved, prior to the purchase?
*
Yes
No
Do you understand that this dog must be returned to its breeder with signed registration papers with no refund of monies at your expense if:
*
Rows
Yes
No
a. You are unable to care for the dog any longer.
b. You no longer want the dog.
c. You violate the written contract signed at the time of purchase.
d. Unforeseen tragedy would leave the dog homeless.
e. You are no longer able to maintain the dog in the environment it has been accustomed to and feel he is in distress or distressed.
Do you understand that this questionnaire will be made part of the written contract at the time of purchase?
*
Yes
No
Any additional comments or concerns:
Submit
Should be Empty: