Guardian Home - Retirement Application Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Gender Preference Female Male Either Preferred Placement Date When can you welcome a retired Rockin' Aussie into your home? MM DD YYYY Are you interested in a Current Retiree that is available? if so, which one? What is your budget to purchase a retired Aussie? There is no fee for Guardian Home Puppy Placement. Do you own your home or rent? Own Rent Do you live alone or with a Partner What is a typical day like in your Household? * For example, when do you leave and return home? How long will he/she be alone? Do you have a fenced in yard? Yes NO Do you currently have any other pets Name, Ages, breeds, if so. Yes No If you have any other Dogs are they fixed? Yes No Please provide the ages of any children in your Household. Does anyone in your Family have Dog Allergies Yes No Do you plan to Spay/Neuter your Retiree? Guardian Puppy's will be spayed at approximately 5 years old. Yes No Do you agree to provide necessary vet care for the life of your Dog? Yes No Any other information you feel we should know? Questions we can answer for you? Vet's name and Address Line Thank you!
