All information is kept
confidential.
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All information is kept
confidential.
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| E-mail: sandra@sunmountainbordercollies.com
Web Address:
www.sunmountainbordercollies.com PO Box 780, Loon Lake, WA 99148-0780 Cell phone: (Mark) 509-844-3544 (Sandra) 509-844-3214 Please complete this questionnaire to
assist us in placing the appropriate puppy in your home. While I
understand that it seems lengthy, please understand that it is vital for
us to have as much information as possible so that we can match the needs
of both your home and the individual puppy. Feel free to elaborate on any
questions using additional pages. The more information you can provide us
about your home, needs, and wishes, the better we can match you with a
puppy. Prospective Owner Questionnaire; Name: ___________________________________________ Date: __________________________ Address: __________________________________________________________________________ __________________________________________________________________________________ Phone: (Home) __________________________ (Office) ___________________________________ E-mail address: ____________________________________________________________________ Please list names and occupation of
all adults in the household: ____________________________ Do you have children/grandchildren who visit regularly? NO ___ YES ___ # of
INFANTS _____ # of 1 – 5 yrs ______ If you don’t currently have children, do you plan to in the future? YES___ NO ___ Why do you want a Border Collie?
____________________________________________________ Have you owned a Border Collie before? YES___ NO___ Please check any of the following activities you plan on participating in with your Border Collie? conformation shows___
agility___ tracking___ free style ___ other________________________________________________________________ Please list the highest level of
titles and wins you have achieved with your dogs (owner handled or
professional handler). Do you intend on obedience training your Border Collie? NO ___ YES ___ ON YOUR OWN___ WITH A
CLUB ____ CLUB NAME _______________________ Do you hope to breed Border
Collies? NO___ Have you ever done any breeding of
dogs before? NO___ What other pets or animals do you own? DOG___ # _________ DOG BREEDS
____________________________________________ CAT___ #
________ Do you or your neighbors have livestock? YES___ NO___ Where will the dog be while you are home? INSIDE___ OUTSIDE___ BOTH___ Where will the dog sleep as a
puppy? INDOORS: LOOSE ___ CRATED ___ Where will the dog sleep as an adult? INDOORS: LOOSE ___ CRATED ___ IF CRATED WHERE WILL THE CRATE BE
LOCATED _______________________________ How long will the dog be alone each day? LESS THAN 2 HRs___ 2-4 HRs___ 4-8 HRs___ MORE THAN 8 HRs___ Who in your family will be primarily
responsible for; What arrangements will you make for
the dog's care when you are away from home for an extended period of time? UNATTENDED WITH ADEQUATE SHELTER,
FOOD AND WATER___ When the dog travels with you in your
vehicle where will it ride? Do you have a fenced area for the dog? NO___ YES___ aprox. size _______ x _______ type of fencing BLOCK___ WOOD___ CHAIN LINK___ OTHER_____________________ fence height 3'___ 4'___ 5'___ 6'___ type of shelter DOG HOUSE___ SHADE TREES___ PATIO___ OTHER______________ type of area YARD___ DOG RUN___ OTHER______________________________________ surface GRASS___ CONCRETE___ DIRT___ OTHER_____________________________ Have you ever used a crate in housetraining a dog? NO___YES___ Veterinarian information: Clinic Name: ________________________________________________________ Address: ____________________________________________________________ Phone: ______________________________ Do you currently belong to any dog
clubs? NO___YES___ Please check all that apply to the type of dog you are looking for: MALE___ FEMALE___ NO PREFERENCE___ ROUGH COAT___ SMOOTH COAT___ NO PREFERENCE___ PRICK EARS___ TIPPED EARS___ NO PREFERENCE___ BLACK/WHITE___ RED/WHITE___ OTHER_________________ NO PREFERENCE ___ LOW DRIVE___ MEDIUM DRIVE___ HIGH DRIVE___ Please describe any other particular physical or character attributes that are important to have in your puppy?
How did you find us? ADVERTISEMENT___ REFERRED BY WHO ____________________ INTERNET___ OTHER___________________________________________________________ Please provide the names, addresses, and phone numbers of at least three references that I may contact. These may include dog trainers, Border Collie owners, other dog owners, your veterinarian, friends, or neighbors. Anyone who knows you well enough to recommend you as a dog owner (family members excluded, please). 1.
2.
3.
I certify that the information I have provided is true and complete to the best of my knowledge and that all household members have taken part in filling out this questionnaire. ________________________________________________________________________________ Signature _________________________________________ Date: __________________________ Thank you for taking the time to answer these questions. While I understand that it seems lengthy it is vital we have as much information as possible so that we can meet your needs as well as the puppies. ALL INFORMATION IS HELD IN THE STRICTEST OF CONFIDENCE AND WILL NEVER BE SOLD OR RELEASED.
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