BON CHANCE AUSTRALIAN SHEPHERDS
PROSPECTIVE BUYER INTERVIEW
PERSONAL INFORMATION
Name: Address: City: State: Zip Code: Home Phone: Business Phone: Alternate Phone: Fax: Email: I am interested in a: Male Female Either: Black tri or bi Blue merle Red tri or bi Red merle Color not important I want this puppy for (please mark ALL interests)Pet Show Breeding Obedience Performance Venues Other (Please Explain):
Name:
Address:
City: State: Zip Code:
Home Phone: Business Phone:
Alternate Phone: Fax:
Email:
I am interested in a: Male Female Either: Black tri or bi Blue merle Red tri or bi Red merle Color not important
I want this puppy for (please mark ALL interests)Pet Show Breeding Obedience Performance Venues Other (Please Explain):
FAMILY
Name of Spouse/Companion: Names and Ages of Children: Is there anyone else who will be living with the dog?
Name of Spouse/Companion:
Names and Ages of Children:
Is there anyone else who will be living with the dog?
PET OWNERSHIP EXPERIENCE:
Have you previously owned an Australian Shepherd? Yes No If no, are you prepared to give your Aussie the exercise that an Aussie requires? Yes No Are you aware of, and prepared for, the regular and frequent grooming needs that an Aussie requires? Yes No Have you previously owned a dog? Yes No If yes, please provide the following for each dog that you have owned:1. Breed (or if a mixed breed, what was prevalent breed)? 2. How was it obtained (purchased, found, gift, adopted, etc.)? 3. At what age was it obtained? 4. What happened to it (sold, given to others, lost, died . . . include cause of death)? What other animals do you currently own? Do you breed dogs now, or have you had experience in breeding dogs? If yes, please give a brief history of your breeding program experience. Which of the following reasons best fit the primary reason(s) you would like to have a dog? If you mark more than one please put a “1” by the most important and a “2” by the next most important, etc. For spouse For the children Companion for other pet Breeding Conformation Obedience Tracking Agility Flyball Attack/Protection Guard Dog Herding Other (Please Explain) What specifically attracted you to this breed? What interests you about an Australian Shepherd?
If no, are you prepared to give your Aussie the exercise that an Aussie requires? Yes No
Are you aware of, and prepared for, the regular and frequent grooming needs that an Aussie requires? Yes No
Have you previously owned a dog? Yes No
If yes, please provide the following for each dog that you have owned:
2. How was it obtained (purchased, found, gift, adopted, etc.)?
3. At what age was it obtained?
4. What happened to it (sold, given to others, lost, died . . . include cause of death)?
What other animals do you currently own?
Do you breed dogs now, or have you had experience in breeding dogs? If yes, please give a brief history of your breeding program experience.
Which of the following reasons best fit the primary reason(s) you would like to have a dog? If you mark more than one please put a “1” by the most important and a “2” by the next most important, etc.
For spouse For the children Companion for other pet Breeding Conformation
Obedience Tracking Agility Flyball Attack/Protection Guard Dog
Herding Other (Please Explain)
What specifically attracted you to this breed? What interests you about an Australian Shepherd?
FACILITIES and CARE
Your occupation: Your Work Schedule: M T W Th F Sa Su Hours: Occupation of Spouse/Companion: Spouse/Companion's: M T W Th F Sa Su Hours: How many hours per day would the dog be left alone? Who will be the primary caretaker of the dog? What type of home do you have? (house, apartment?) Do you own your home? Yes No If not, do you have your landlord’s approval? Yes No Are you able to provide a written statement of approval from your landlord? Yes No The dog would spend most of its time: Outdoors Inside the home The dog’s sleeping quarters would be: Outdoors Inside the homeWhen alone the dog would be: Outdoors Inside the home loose Inside the home crated Description of outdoor space for dog: Fenced yard Yes No (include type and height of fencing) Unfenced yard Open fields Kennel Garage Parks nearby Yes No Walking trails nearby Yes No Other How will the dog be transported? (riding inside vehicle in crate, in back of pickup) How will you exercise the dog? May I come to see where the dog will be living, or send a representative?
Your Work Schedule: M T W Th F Sa Su Hours:
Occupation of Spouse/Companion:
Spouse/Companion's: M T W Th F Sa Su Hours:
How many hours per day would the dog be left alone?
Who will be the primary caretaker of the dog?
What type of home do you have? (house, apartment?)
Do you own your home? Yes No
If not, do you have your landlord’s approval? Yes No
Are you able to provide a written statement of approval from your landlord? Yes No
The dog would spend most of its time: Outdoors Inside the home
The dog’s sleeping quarters would be: Outdoors Inside the home
Description of outdoor space for dog:
Fenced yard Yes No (include type and height of fencing)
Unfenced yard Open fields Kennel Garage Parks nearby Yes No Walking trails nearby Yes No Other
How will the dog be transported? (riding inside vehicle in crate, in back of pickup)
How will you exercise the dog?
May I come to see where the dog will be living, or send a representative?
ADDITIONAL INFORMATION
When you travel, would you normally travel with the dog? Yes No What arrangements would you make for the care of the dog when it is unable to go with you? Are you aware of what this service would cost? Yes No Is anyone in your family allergic to dogs or dog hair? Yes No Are you willing to crate-train your dog? Yes No Are you willing to feed a premium quality diet regularly (no grocery store kibble)? Yes No Are you willing to sign a Non-Breeding Agreement? Yes No Are you willing to sign a contract requiring you to return the dog to me if you are no longer able to care for it properly? Yes No Are you willing to sign a Co-Ownership Agreement until such time as the dog is titled, has had all appropriate health checks completed, or spayed/neutered? Yes No Have you considered what you will do with your puppy in case of the following: Birth of a baby? Loss of a job? Relocation to another city or state? Divorce? Flood, blizzard, or tornado?..
What arrangements would you make for the care of the dog when it is unable to go with you?
Are you aware of what this service would cost? Yes No
Is anyone in your family allergic to dogs or dog hair? Yes No
Are you willing to feed a premium quality diet regularly (no grocery store kibble)? Yes No
Are you willing to sign a Non-Breeding Agreement? Yes No
Are you willing to sign a contract requiring you to return the dog to me if you are no longer able to care for it properly? Yes No
Are you willing to sign a Co-Ownership Agreement until such time as the dog is titled, has had all appropriate health checks completed, or spayed/neutered? Yes No
Have you considered what you will do with your puppy in case of the following:
REFERENCES
Veterinarian’s Reference: (Please contact your veterinarian and advise that you have given me permission to call for a reference.) Doctor's Name: Clinic Name: Address: City: , State: Zip: Three personal references . . . Name, Phone #, and Relationship (i.e., friend, neighbor, employer, family member)
Doctor's Name:
Clinic Name:
City: , State: Zip:
Three personal references . . . Name, Phone #, and Relationship (i.e., friend, neighbor, employer, family member)
Thank you for your time in answering these questions. You may press the submit button below to send this form automatically or you may choose to copy and paste the completed form to an email.
Email: Bon Chance Australian Shepherds
