Splash 'N Dash Aussies - Puppy Application

Name

Email

Phone Number

What State do you live in?

Do you have a color preference?

Blue Merle
Black Bi
Black Tri
Open to Any Color

If your color or gender preference isn't available are you willing to take a different color/gender?

All puppies will have natural tails. Are you ok with your puppy having an intact (not docked) tail?

Yes, I am ok with my puppy have a full length tail
No, I am looking for a puppy with a docked tail

Are you interested in a puppy with breeding rights?

Yes
No

If breeding your dog, are you willing to complete all genetic health testing known in the breed and wait until the dog is over 2 years old to complete OFA hip and elbow exams?

Yes
No
I'm not planning to breed

If breeding your dog, are you willing to title your dog in a performance venue and/or prove workability by working livestock?

Yes
No
I 'm not planning to breed

What type of house do you reside in?

House
Apartment/Condo
Townhouse
Other

Do you rent or own your home?

Rent
Own

If you rent your home, a signed letter from your landlord is required before picking up you puppy. Please list landlords name, phone, and/or email.

Do you have a yard?

Yes, I have a fenced yard
Yes, I have acreage/farm but it is not fenced
Yes, I have a small yard but is not fenced
No, I do not have a yard

If your yard is not fenced, how do you plan to keep the dog from running off and/or getting in a road when you take them out for exercise?

I plan to teach a reliable recall and never leave my dog unattended
I plan to always have my dog leashed when outside
I plan to use a tie out/chain
I expect my dog to not run off

Please list the names and ages of everyone in your household including yourself:

Do you have plans to have children within the next 2 years?

If there are children in the home do you understand that this breed may try to "herd" or nip and are you willing to put in the training to teach the dog and child appropriate behaviors?

How long will the puppy be left home alone on a typical day?

Where will the puppy stay when left alone?

How do you plan to socialize your puppy?

Have you ever trained a dog before?

Yes, I've trained a dog for competition
Yes, I've trained a dog for basic pet obedience and tricks
No, I don't have experience training dogs but plan to research how to train my puppy and find a professional trainer to help
No, I've never trained a dog and am not interested in training more than basic house manners

Have you ever participated in any dog sports? Please list any sports and/or titles achieved

Do you plan to attend a puppy obedience class?

Yes
No

How do you plan to provide exercise?

Do you plan for the puppy to participate in any dog sports? If so, please list which ones.

Will your puppy be used to work livestock?

Yes
No

If planning to use your dog for herding, have you ever trained a dog to work stock before?

Yes I have trained working stock dogs
No I have not trained them before, but I have an experienced trainer lined up to assist
I do not plan to use my dog for herding

Do you understand that this breed requires daily mental work as well as physical work or could develop behavior problems and/or be destructive?

Yes
No

How do you plan to provide mental stimulation?

Do you currently own any other pets?

Yes
No

If so, please list species, breed, age, and if they are spayed or neutered

Have ever owned an australian shepherd before?

Yes
No

Have you ever owned a dog? Please list breeds.

Please detail any experience you have with this breed or similar herding/working breeds

Have you ever had to rehome a pet before? If so, I understand this is sometimes necessary. Please explain the circumstances:

Who is your primary veterinarian?

Please explain why you chose an Australian Shepherd. What do you know about the breed? What do you like most about the breed? What do you dislike about the breed?

Any additional comments: