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Adoption Application
Name:
Address:
City:
State: Zip:
Home phone: Work phone:
Email:
Dog (s) interested in meeting:
How did you hear about us?
How did you decide on an aussie?
Have you ever had an aussie (or other dog)? If yes, what happened to it?
Do you have other pets? Are they spayed or neutered?
Are you looking for: ___family pet ___herding/agility/obedience companion ___other
___male ___female ___younger dog ___older dog
___any age ___either sex ___indoor dog ___outdoor dog ___both
What traits are you looking for in a dog?
do you have children? ages?
do you rent or own your home? If you rent, do you have permission to own a dog?
do you have a fenced yard? how large? how high is fence? have you checked it for escape routes?
how much time will the dog spend alone? where will he/she be?
Where will the dog sleep? Where will he/she be during the day? while you are home? while you are away?
What activities would you like to do with your dog?
Are you interested in obedience training your dog?
Do you intend to crate-train your dog?
Would you be willing to allow us to visit you and your new dog after the adoption?
Are you willing to give the dog at least six months to adjust to you, your family, and his new environment? ___yes ___no
For what prime reasons would you give up, or get rid of a dog?
May we contact your veterinarian for a reference? If yes, please include your vet's name and phone number. If no,
please explain.
Do you have any questions or concerns that we might be able to answer?
There is a $300 required donation which covers care of the dog and medical expenses which may range from vaccines
to major surgery. For puppies under 4 months of age a $100 refundable spay/neuter deposit is required.