Name Phone Number (Home) Phone Number (Cell) Best time to reach you? Street Address City, State, Zip Email Address Do you currently have any pets? If so, please list what types of animals
and their ages. Do you have a fenced yard? Will your dog spend the majority of his time inside
or outside? Have you raised a puppy before? If you have raised a puppy before, what
were some of the specific challenges you faced and how did you ovecome them? What are some of the characteristics you
are looking for in your new puppy? (ie, energy level, temperament, etc) Would your preference be male or female?
Male Female Is it acceptable to you that the perfect puppy for
your household in temperament and ability may not be the color that you prefer?
yes no What is your color preference? (Please keep in mind
that puppies will be place on suitability first, and color/sex second. We do not know whether or not we will have red puppies
in this litter)
Black Tri Blue Merle Red Tri Red Merle Please select below all of the activities that you
are interested in joining with your dog.
Conformation Showing
Yes, I'd like to show my dog . I may want to show my dog. No, I'm not interested in showing Breeding
Yes, I want to breed my dog. I may want to breed my dog No, I will be spaying or neutering my dog. Agility
Yes, I am interested in agility I may want to participate in agility No, I do not plan to participate in agility Herding
Yes, I'd love to go herding with my dog. I may want to give herding a try No, I'm not interested in herding Frisbee
Yes, I'd like to try disc dog. I may want to try disc dog No, I'm not interested in frisbee Flyball
I'd love to try flyball with my Aussie I may want to give flyball a try Nope -- not interested in Flyball Rally
Yes, I'd love to take my dog to rally matches. I may want to try rally in the future I'm not really interested in rally Do you work outside the home? How many hours are you gone during the day? Will there be anyone home during this time? What are your plans to keep the puppy safe during this
time? Please list household members and the
ages of any children Does anyone have allergies to animals in the home?
yes no Do you have a puppy kindergarden/beginning obedience
class in mind for your puppy? Have you researched Mini Aussies? What
sites/books have you read? Have you owned an Aussie or other herding
breed before? If so, what breed? Mini Aussies tend to be velcro dogs who prefer to be
an intrical part of your day. Do you mind having a four-legged shadow? The standard for minis is 14" to 18". Puppies
from this litter may go over the standard. Is this okay with you? Is there anything else that you would
like me to know? Do you have any questions for me?
