Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Please check any of the following activities you plan on participating in with your Border Collie?

         conformation shows       obedience trials       agility trials

         tracking       herding     flyball

         search & rescue       scent hurdling       Schutzhund

         jogging       frisbee       protection training

         puppy kindergarten       basic obedience class      camping

         hiking      OTHER

Do you intend on obedience training your Border Collie?     ON YOUR OWN

         WITH A CLASS, CLUB OR PRIVATE TRAINER

Do you hope to breed Border Collies?   YES     NO

Have you ever done any breeding of dogs before?   YES     NO

Are there children at home, or any children/grandchildren who visit regularly?    YES      NO 

If you don’t currently have children, do you plan to in the future?    YES     NO

What other pets or animals do you own?    CAT     DOG    OTHER

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?    INDOORS      OUTDOORS

How long will the dog be alone each day?    LESS THAN 2 HRs      2-4 HRs      4-8 HRs        

         MORE THAN 8 HRs

Why do you want a Border Collie?


Please describe any particular physical or character attributes that you are looking for in your puppy?

Have you owned any dogs before if so, what breed AND LIST ALL PERFORMANCE TITLES OR BREED CHAMPIONSHIPS EARNED?

Where is the dog(s) now?

What activities did you participate in with your dog?

The second part of our questionnaire will be forwarded to you at a later date.  We will be asking for 3 references plus information about your veterinarian and upon request I will provide you with a list of my references.