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Full Name *
Complete Address (including postal code) *
Phone Number *
Email Address *
How long have you lived at this address? *
How large is your yard? (how many acres) *
If so, what type of fencing do you have? If not, do you plan on fencing your yard and when? *
How will you handle your aussie's exercise requirements? *
How many adults and children are in your household? *
If there are children, what are their ages?
If yes, please describe breed, age and sex.
If you own other dogs are they spayed or neutered? If not please explain why.
Why did you choose this breed? *
What research have you done on the breed? *
How many dogs have you owned in the past 10 years? What breed were they? *
If you have owned dogs in the past 10 years that are currently no longer living with you, what happened to them. Please provide details.
If you work, how will your aussie spend his/her day? *
How many hours on average will the dog spend alone per day? *
Please list all plans for this puppy, for example herding, agility, obedience,conformation, disc dog, breeding, therapy dog, service dog, companion, etc *
Please provide any additional comments that you would like to make.