Antique Aussie Puppy Questioneer

How did you hear about ANTIQUE AUSSIES?*

What litter from ANTIQUE AUSSIES are you interested in?*

Full Name*

First NameLast Name

Age

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home*

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Type of Dwelling?

Do you:

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

Household Setting

RuralSuburbanUrban

Describe your Homes Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please List any Pets you have Living with you and your family at this time.*

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?

YesNo

Are all members of your Family agreeable to adding a new puppy/dog family member?

YesNo

Are you familiar with the traits of the aussie breed. Energy level, intelligence, hair coat, etc.

YesNoOther

Have you done any research on the aussie breed? Read any books, internet, AKC/ASCA etc.?

YesNo

Have you ever given up a pup/dog to a shelter or for any reason? If so, please explain.*

Do you have a preference in sex puppy?

MaleFemaleNo Preference

Do you have a color preference?

What is your activity level?

Do you like a dog that is your shadow?

Please describe your expectations from your aussie puppy/dog. Breed, coat length, personality traits, energy level. We always want to make sure we have the best fit for our puppy homes.

Are you willing to take dog to vet appointments, get a microchip and keep them current on worming and vaccinations?

YesNo

Do you drive or have access to a vehicle to socialize your dog at different events, training and appointments

YesNo

Do you understand that this is a puppy and are you equipped to train with love and patience?

YesNo

Have you had any experience with aussies, understanding they need lots of socialization & training?

YesNo

If Yes please explain

Are you willing to use a crate for your puppy as recommended to set them up for success? THIS IS VERY IMPORTANT.

YesNo

Have you owned dogs in the past?

YesNo

Is this the first time you have owned a Aussie?

YesNo

Length of time your puppy would be in a crate during the day?

4 + hours6 + hoursOther

Do you have a safe fenced yard?

YesNoPartial

Are your expectations to have a outdoor puppy/dog?

YesNoPartial

How many hours in a day would your puppy be left alone?

You understand if at any point you are no longer able to care for this puppy/dog, you must contact Antique Aussies. At that point it will be determined what is the next and best course of action. Any expense to return the puppy/dog is the sole responsibility of the owner. This as not a option. Click that you understand and agree.

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If the puppy is being shipped via airplane, as carry on or cargo, buyer understands there is a $250 transportation charge to deliver the puppy to the airport. If the buyer wants to pick up the puppy from the ranch, a appointment must be scheduled in advance. If the airline requires a health certificate, buyer is responsible for the vet expense and there is a $50 transportation fee. Southwest airlines at this time does not require a health certificate for carry on.

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Due to extensive testing that go into the parents and the puppies to insure you take home a healthy happy puppy, we sell our puppies from $2800 to $3500 depending on litter. **Please see litter contract. ** Please click that you are aware of pricing.

I am aware of the pricing

Final payment on puppy is "CASH ONLY". It is the puppys price minus the deposit.*

Agree

If at anytime you move, relocate or change phone number, you must contact breeder and update your complete contact information.

Agree

Please list your vet & 2 personal references with names, email, phone numbers and how related. We prefer it not to be all relatives. Are you ok with this?

YesNo

Vet Reference #1: Full Name*

First NameLast Name

Phone Number

Area CodePhone Number

Personal Reference #1: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

Personal Reference #2: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. This is just a questionnaire, not a contract. You are not obligated to the purchase of a puppy.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any ANTIQUE AUSSIE puppy/dog available by me.

I certify that the above information is correct, and I understand that the information will be verified.

I agree that if I purchase a puppy from ANTIQUE AUSSIES, I will be subject to signing a contract insuring that the puppy/dog will be going to a forever home and if anything should happen that the puppy must be released back to ANTIQUE AUSSIES. No puppy/dog will ever be rehomed without the consent of ANTIQUE AUSSIES. No puppy/dog will be released to any shelter.

I accept full responsibility for the dog(s) actions at all times. If receiving a puppy/dog from ANTIQUE AUSSIES, I will do everything in my power to make sure the puppy/dog receives quality care, safe home, and loved.

I agree that ANTIQUE AUSSIES has the option to complete reference call checks.

Date

MonthDayYear

Your name*

E-mail

PUPPY QUESTIONNAIRE