| Name: |
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| Email Address: |
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| Address |
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| City, State and Zip |
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| Phone Number |
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How did you find us?
(Referral from another buyer, website, etc.) |
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| Have you ever owned and Australian
Shepherd before? |
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| What made you decide to purchase
an Aussie? |
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| Which do you prefer? |
Male
Female
Either
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| Why? |
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| Do you have a color preference? If
so, what color? |
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Would you consider a puppy of another
color
or sex if your preferences are not available? |
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What is the time frame you
would like to get your new aussie in? |
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Do you plan to participate in any
of the
following activities with your aussie?
(Check all that apply) |
Agility
Conformation
Obedience
Herding
Tracking
Flyball
Therapy
Breeding
|
| Other? |
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If you are not planning on breeding
or
showing, would you be
willing to have your aussie
spayed or neutered? |
Yes
No
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All our pet/companion puppies are
sold on
ASCA/AKC limited
registration and spay/neuter agreements.
Do you have a problem with this? If so, why? |
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What other breeds of dog have you
owned?
(If you haven't owned a dog before, please state) |
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Do you still own the dog(s) mentioned
above?
If not, what happened to the dog (s)? |
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Do you currently own any other animals
(non-canine)
If yes, please list them below: |
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If you currently do not own any dogs,
can you tell me
about your past exposure to dogs and dog ownership? |
|
| Do you have children? |
Yes
No
|
If yes, please list their names and
ages below and
give me a brief idea of their exposure to dogs: |
|
What are your plans for housing and
exercising your Aussie? |
|
On average, what do you plan to spend
per
year on food, veterinary care, etc for your Aussie? |
|
| How much do you expect to pay for
your Aussie puppy? |
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Have you spoken with any other Aussie
breeders?
If yes, please list them below: |
|
| Are you currently on the waiting
list for any other litters? |
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Are you at all interested in being
contacted about rescue
dogs or older dogs needing placements if we should
come across a dog that we feel would suit your needs? |
|
| Do you own or rent your home?
|
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If renting, do you have your landlords
permission to keep a dog? |
|
| Do you have a totally enclosed fenced
in yard? |
|
| Fence height and type? |
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Where will this dog spend the day?
(Check all that applies) |
Loose indoors
Crate
Basement
Garage
Fenced yard
Kennel run
Loose outdoors
|
| Other? |
|
On average, how many hours alone
will
this dog spend alone? |
|
Where will your Aussie spend the
night?
(Check all that applies) |
Loose indoors
Tied up outside
Crate
Basement
Garage
Fenced yard
Kennel Run
Loose Outdoors
|
| Other: |
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Have you ever given away a dog to
a friend,
family or shelter? If so, why? |
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What type of personality are you
looking for in your dog? |
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Please list two references (Veterinarian,
person
active in dogs or close acquaintance preferred)
Please include a phone number and email address. |
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