questionnaire.jpg (23586 bytes)

Please note: pressing your enter key will submit the form! Please tab or mouse between fields.

If you do not wish to wish to enter your address, please do list the state you live in.

Your name:

Address

City/State/Zip

Phone number

Best time to call:

Email address

 

Tell me a little about your family:

How did you hear about Firehouse Kennels:

Web page     Referred By:  Other:
What breed(s) of dogs have you owned in the past?



What other pets do you currently own?

Describe the "perfect" Miniature Australian Shepherd (personality, traits, etc):

What activities do you plan to do with your dog?

Do you plan to compete in sports such as Agility, Frisbee, Obedience, Herding, Flyball, etc?

No, just looking for a companion

Yes, but just for fun

Yes, and need a companion/teammate to go to the top with

What are your non-pet related hobbies?

Please check any of the following that apply:

Own Home

  Rent

 

 House with patio only  House with yard

Apartment/Condo       Farm/Ranch

Other
How do you plan to confine your dog while you are gone?

Will your dog be primarily Outdoors or Indoors?
 

Preferences:   Check ALL that apply:
Male    Female      Don't care    Not sure

Blue Merle     Red Merle     Black Tri      Red Tri      Don't Care     Not Sure

Show/Breed Quality      Pet Quality      Don't Care     Not sure

Do you plan to breed?  Yes     No

Would you consider showing or breeding if you had a mentor? Yes     No

Do you object to a spay/neuter contract?  Yes     No

Please add any other comments or details that you think will help us in assisting you in choosing a puppy: