Puppy Questionnaire/Application

Full Name:

Email:

Street Address:

City (please state):

State:

Country:

Zip Code:

Home Phone:

Mobile Phone:

Have you ever owned a dog/s and what breed/s?:

Are you a breeder? (nothing against breeders just would like to know):
yes
no

Do you have Children? How many? :

Have you done any research on the Border Collie Breed?:
yes
no

Do you currently own a Border Collie?:
yes
no

Why do you want a Border Collie: Select all that apply:
Conformation/showing
Family Pet/Companion
Herding
Obedience ie: Agility, fly ball, etc

Do you currenty show in conformation shows?:
yes
no

Do you understand that if you buy a show puppy from me it does not mean it will be a winner?:
yes
no

Do you still have a dog?:
yes
no

If so how Many?:

Are you willing to join the Breed Club or an obedience Club in your area?:
yes
no

Have you ever obedience trained a dog?:
yes
no

What kind of facilities do you have for a dog? (ie: yard space, house yard,dog run, etc):

Are your fences sufficiant to keep your dog in? We wouldnt want him/her getting run over!:
yes
no

Do you prefer a male or female and why do you prefer that sex?:

What colour/s Border Collie would you like if avaliable?:
Black/White
Blue Merle
Blue/White
Chocolate/White
Tri Coloured

Would you like your pup to be on the main register (registers are explained on my puppy page):
yes
no

Do you intend to breed. please answer the following questons (otherwise go down 2):
yes
no

1, Do you know about genetic screening on a Border Collie? ( tick all boxes that apply):
Ceroid Lipofuscinosis (CL)
Collie Eye Anomaly (CEA)

2, If you are going to breed at what age do you believe a dog is ready to be bred from?:
Female - 6 months
Female - 9 months
Female 12 months
Male - 6months
Male - 12 months
Male - 9 months

If you have your dog on the limited register are you going to have he/she desexed:
yes
no

What price range are you willing to pay for a pure bred puppy?:

Are you willing to be on a waiting list? :
yes
no

PLEASE LET US KNOW IF YOU GET A PUPPY ELSE WHERE SO WE CAN TAKE YOU OFF THE LIST THANKYOU:

Any more comments you wish to add:

THANK YOU FOR TAKING TIME TO FILL IN THE FORM I WILL GET BACK TO YOU SOON:

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