How did you hear about us.
If you were referred to us,please give the name of the person who referred you.
*Full Name:
*Address:
*City:
*State:
*Zip Code:
Home#:
Work#:
Cell#:
*Email Address:
If married does your spouse like dogs also? Yes
No
Can you tell me your age category: 20-30
40-50
60+
Do you have any children at home? If yes please give ages Yes
No
1 year or younger
2-6
7-11
12-16


Do you own or rent?
If you rent do you have the landlord's permission to have a collie? Yes
No
Where would your collie live? Mostly indoors
Mostly outdoors
Outdoors only
Indoors/Outdoors
Will your collie be at home alone if you work or will someone be with your collie?
Where do you plan on keeping your collie while you are at work?
Are you going to groom your collie yourself or have him groomed?
Are you aware of the grooming involved in keeping a collie in coat?
Collies normally shed twice a year. Can you live with hair on your floors and furniture during the time your collie sheds? Yes
No
Do you have any other pets and what are they?
What type of home do you have?
Do you have a secure fence? Yes
No
Please send me a picture of fenced in back yard
Do you have locks on your gates? Yes
No
Are you looking for a companion or show dog?
Are you looking for a male or female?
Are you looking for a puppy or adult?
Have you ever owned a collie? Yes
No
Collies can get heat stroke in extreme heat are you going to be able to keep your collie in a air-conditioned area in the summer? Yes
No
When you go on trips where are you going to keep your collie or will your collie go with you?
Collies usually live 12-15 years. Are you ready to care for a collie that many years? Yes
No
*Please give me the name and phone number of your vet.
THESE NEXT QUESTIONS ARE ONLY IF YOU WANT TO PURCHASE A SHOW PROSPECT.
Have you ever shown a dog before? Yes
No
Have you ever shown a dog to its championship? Yes
No
Have you ever been to a dog show? Yes
No
Do you plan on showing your collie or have someone else?
Do you plan to breed your collie? Yes
No
If you answered yes to above question do you plan on selling all pet puppies on limited registration with spay/neuter contract?

form mail
I WANT TO PLACE MY PUPS IN VERY GOOD, SAFE HOMES SO IF THESE
QUESTIONS UPSET YOU THEN YOU ARE NOT WHAT I AM LOOKING FOR AS A
HOME FOR MY PUPS.
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Questions marked with a * are
required fields.