Puppy Application Name * First Name Last Name Email * Phone * (###) ### #### Do you use texting for communication * Yes No Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you have access to Facebook? * Yes No Willing to join for communication purposes Why are you interested in owning an Australian Shepherd? What age of dog are you interested in? * Puppy - 3 months 3 - 6 months 6 - 12 months Adult Sex * Male Female Would you consider a puppy of a different sex if your first choice isn't available? * Yes No Color * Blue Merle Red Merle Red Tri Black Tri ANY Would you consider a puppy of a different color if your first choice isn't available? * Yes No How soon are you looking to adopt a dog? * What sort of activity level are you comfortable with? * High energy Low energy Do you intend to compete with your dog? * Yes No Maybe If you do plan on competing, please check any areas of competition that may interest you. * Conformation Obedience Herding Agility Tracking Flyball Frisbee Breeding Other (please specify below) Other competition interest: All companion puppies are sold with Limited Registration papers and spay/neuter contracts. Are you comfortable with this? * Yes No Do you own or rent your home? * Own Rent Is anyone at home during the day? * Yes No Is anyone at home during the night? * Yes No Where will the dog be kept during the day? * (Example: Crated, Loose in the house, Loose in the yard, etc...) Do you have a plan for care when you family is away on vacation? * Yes No If yes, to above question, please explain where the dog will be kept: * If you are established with a Vet, please provide Name, Address, and Phone number of Vet. Thank you!