Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address *City *State *Zip *Housing situation *OwnerRenterAre you allowed to have dogs in your home? *YesNoAre there children living in your home? *YesNoWhere will the dog be living? *Indoor OnlyIndoor/OutdoorOutdoor OnlyIs your yard fenced? *YesNoPartiallyDo you have other pets? *YesNoIf yes, list the type of pets you have with their name.Are you over 18? *YesNoDoes anyone in the household have allergies? *YesNoIf yes, list the person and allergy type.Have you ever had to surrender a dog? *YesNoIf yes, why?My lifestyle is best described as: *Very activeMildly activeRarely activeHow often are you home each day? *1 - 5 hours6 - 12 hours13 - 24 hoursWill this be your first dog? *YesNoWhat do/did you love most about your current/last dog?What do/did you like least about your current/last dog?Why are you choosing to purchase an Australian Shepherd? *What do you want most from your new puppy? *Is there a specific puppy (by name or collar color) you are interested in? *Submit
