Cheynat Australian Shepherds CONTACT FORM
Thank you for your interest in one of our puppies. The following questions are asked so that the right puppy is matched to the right owners. By temperament testing the dogs and reviewing our applications, we can make the best matches possible. We hope that you will agree that the animal's welfare must be our foremost consideration when deciding on placements. Please answer the following questions as completely as you can. Once you have provided and reviewed your responses, press the SUBMIT BUTTON at the bottom of the form.
Your Name (Required) :
Address :
E-mail (Required) :
Phone #'s (Required) :
	Day Telephone (with area code)		Evening Phone (with area code)
Just curious,  how were you referred to us ?  or   How did you find our web site ?
Will this dog be your first Australian Shepherd ?				Yes        No
Are you aware of the socialization needs of an Aussie puppy and do you feel you are capable of providing for these needs?				Yes        No
Aussie Colours - Please indicate your colour preference				No Preference Red Tri Black Tri Red Merle Blue Merle
Gender - Do you have a preference for a male or a female ?				No preference Male Female Male, would consider Female Female,would consider Male
Do all family members agree on the addition of an Aussie ?				Yes        No
Does your family have enough "quality" time to devote to a dog?				Yes        No
Are you willing to take responsibility ( emotionally and financially ) for this dog for the next 10 or more years?				Yes        No
Why are you interested in obtaining one of our Australian Shepherds ?   ( Check as many as apply. )
	Companion	Showing		Agility
	Herding	Breeding		Obedience
	Other please describe :
Please tell us your preferences in terms of temperament and personality.
Where will the dog stay during the day ?  How many hours might he or she be left alone at a time ?
Please describe your property.  What size area is securely fenced ?   Are you Rural / Urban / Suburban ?
Where will the dog stay at night ?  What bedding or crating accommodations are you planning ?
Please tell us a bit about your family and household. Ages of children in the house, if any. If you have children, have they spent time around dogs ? Are they timid with dogs ?
Please describe the animals who currently reside in your home.   ( Breeds, Ages, Gender, Intact ? )
We ask for at least one reference. We prefer it to be your Veterinarian. If you can not provide a vet reference, please provide the name of someone who is famaliar with your interest in dogs.
Name :
Location :
Phone :
Best Time To Reach :
Please feel free to add anything else that you think will help us in choosing the right dog for you.
	Please review your responses above before submitting this form.
Are You Ready to Submit Your Information ?
Site owned & operated by : Leslie Edwards of Cheynat Australian Shepherds Last Updated : February 7 th, 2008