| 1. Do you own or rent your home? |
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| 2. How long have you lived at this
address? |
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| 3. How large is your yard/or how many
acres? |
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| 4. Do you have a fenced yard? |
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| 5. If so, what type of fencing? |
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| 6. If you do not have fencing, how
will you handle the puppies exercise and toilet duties? |
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| 7. How many adults and children in
household? |
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| 8. Ages of children? |
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| 9. Do you own other dogs? |
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| 10. If yes, describe breed, sex, and
age: |
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| 11. If you own other dog(s) are they
neutered or spayed? |
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| 12. If you own a dog(s) and/or cat(s)
please give the name, address, and phone number of your veterinarian: |
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| 13. How many dogs have you owned in
the last ten years? |
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| 14. If you have owned dogs in the last
ten years that are not presently living with you, what happened to dog(s)
and be specific: |
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| 15. Have you owned an Australian
Shepherd before? |
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| 16. If so, provide, name and contact
information of the breeder you purchased your puppy from. |
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| 17. What Dog Clubs are you Affiliated With?
Provide Name of Club or state None |
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| 18. Why did you choose this breed? |
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| 19. What is your color preference? |
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| 20. Do you want a
Male or
Female? |
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| 21. Which Litter are you interested
in? |
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| 22. Will the puppy reside in the
house? |
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| 23. If you work how will the puppy
spend its days? |
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| 24. How will the puppy spend the
night? Crated or uncrated? |
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| 25. How many hours on average will
the dog spend alone per day? |
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| 26. List all plans for this dog: Pet,
Herding, Obedience, Conformation, Agility, Breeding, Guard, Other: |
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| 27. Have you put any titles on any of
your previous dog(s)? If yes, list the titles and registered name of
the dog(s): |
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| 28. Please provide any
additional comments you would like to make: |
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All companion puppies are sold on strict
spay/neuter contracts!
All show/performance prospects are sold on
co-ownership only!
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