Street, City, State, Zipcode
How did you hear about us?
Color - please indicate your preference(s) Red Tri, Red Merle, Black Tri, Blue Merle?
Do you want a male or female?
Other adults in your home?
Do you have any children? If so, what are their ages?
Who will care for this dog if you should become incapacitated, temporarily or permanently?
Do you agree that, if for some reason you are unable to care for this dog, we will be contacted about its relocation and will have first right of refusal?
What type of home do you live in - house, apartment, duplex, townhouse, farm, etc.?
How many hours will this dog be left alone per day?
Where will the dog be when no one is at home?
How long did your last pet live and what were the circumstances of its death?
Have you ever given a pet away? If so, what were the circumstances?
Have you ever given up a dog to a shelter or pound? If so, what were the circumstances?
How many dogs do you have now? What breeds?
Have you owned Australian Shepherds before? If so how recently?
Do have a fenced secured yard?
How large and of what type is the enclosure?
Do you intend to house your dog inside or outside?
Where will the dog sleep at night?
Are you willing to travel to Texas to meet the dam and sire of our puppies?
Registration applications for all Australian Shepherds placed as pets will be marked as "non-breeding". Do you have any reservations about this policy? If yes, please tell us about your reservations
Please provide the name, address and telephone number of your veterinarian (or one who has worked with you in the recent past) as a reference: