Application Form

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Name *

First

Last

ID Number *

Address *

Email Address *

Contact Number *

Living Conditions *

Is your yard fenced? *

Is there other animals in your house? *

if yes to animal

Have you had a dog before? *

if yes to above

Do you have experience with Australian Sheppard, or any kind of active dog? *

Explain

How many Hours alone *

Responsible party *

Will you be able to train and socialize the dog? *

Is Explain the

house or doghouse *

Will you be able to regularly have visits to the vet, including shots, deworming and medical examinations? *

Do you have a vet near you? *

Vet contact details

Colour dog you want? *

Colour option 2 if first not available?

Male or Female? *

Why do want one *

Plans for training *

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