RainTree Aussies.

Breeder of temperment, health and performance.

Your full name:
Address:
City, province/state, postal/zip code:
E-mail address:
Phone (including area code):
Date:

How many members does your family have and what are their approximate ages? (For instance, 3 adults, two children aged 12 and 14.)</FONT< TD>
What are their occupations? Their hours of work?
Is someone available throughout the day to exercise a puppy?	Yes No
Do you own your own home, rent or reside with others?	Own Rent Live with others
If you rent, has your landlord agreed in writing to allow you to have a dog on the premises?	Yes No
Is your residence rural, suburban or in the city?	Rural Suburban City
How long have you lived at your present address?
Do you have a securely fenced in yard?	Yes No
If not, how do you plan to keep your puppy from roaming/being stolen?
Do you have a pool?	Yes No
If yes, is it fenced in?	Yes No
Where will the puppy live?
Who will be the primary caregiver to the Puppy?
Does anyone in your family have allergies?	Yes No
Is there someone in your family who does not want a dog or dislikes dogs?	Yes No
Have you ever owned an Aussie before?	Yes No
If yes, when? For how long?
Who did you obtain it from?
What happened to it? If deceased, how did it die?
Have you ever owned any other breeds of dog?	Yes No
If so, which breed(s) and what happened to them?
Are there any other dogs in residence in your family right now?	Yes No
If so, which breeds and what are their approximate ages?
Do you have cats?	Yes No
If yes, how many and approximately how old are they?
Do you have a regular veterinarian?	Yes No
If yes, please list name, address and phone number.
Are there likely to be any major changes in your lifestyle in the near future? (such as moving, pregnancy, care of an elderly relative etc.)	Yes No
Do you plan on using a crate for your Puppy?	Yes No
If not, why not?
Which of the following activities are you interested in pursuing?	Conformation shows Obedience Agility Pet therapy Other(Please specify)
If requesting a Show / Performance puppy please briefly summarize your experience.
Which are you primarily interested in?	Male Female
Will you accept a puppy of the opposite sex, if your first choice is not available?	Yes No
What characteristics are you looking for in a Sheltie? (eg: size/color/activity level)
How long are you prepared to wait for a puppy?
Are you prepared to have a pet/companion Australian Sheppard spayed/neutered?	Yes No
If not, why not?
Are you willing to attend a minimum of one set of obedience classes?	Yes No
Are you willing to return the dog to the breeder should some unforeseen circumstance arise and you would no longer be able to keep the dog?	Yes No
Are you willing to have your Aussie hips x-rayed at 2 years of age?	Yes No
Are you willing to have your dog undergo annual eye examinations by a certified veterinary ophthalmologist?	Yes No

Are you willing to provide the information obtained from the above tests to the breeder of your dog?	Yes No

In your own words, please describe why you want to get a Australian Sheppard . AKA Aussie.

Name, address and phone number of seven references. (one a vet, groomer) and

the others not to be related to you.

Please copy and past this to a email to me with your answers.

If I fail to respond within a reasonable period of time please send me an email. Thank you.

coolgirl29@msn.com