What is your email address:

Where do you live:

1. Who referred you to us to purchase a North American Shepherd?

2. Do you have references? (please list names and phone numbers)

3. Have you previously owned an Aussie or Mini Aussie?
Yes
No

4. Is this your first puppy/dog? If no what breed did you have?
Yes
No

5. Are there any dogs or cats or other pets in your home at the present?
Yes
No

6. Do you have children? How many and what ages?
Yes
No

7. What is your primary reason for purchasing a puppy/dog? Mark as many choices as you like.
Companion
Family dog
Conformation dog
Agility
4HDog
Obedience dog
Working dog
Tracking
Other (please explain)

8. Do you have a fenced yard that is secured, or an area where you puppy/dog can be safe and protected while you are gone?
Yes
No

9. Do you have a veterinarian?
Yes
No

10. Have you read any books on raising puppies or training dogs?
Yes
No

11. Will you have your dog spayed or neutered?
Yes
No

12. Please comment on how you envision living with your new puppy/dog.

Thank you so much for taking the time to complete this questionnaire as I am responsible for the lives that I bring into this world and want to do my utmost to place them in appropriate homes with lots of love and learning.

Karen Firlotte
SIDEKICK NORTH AMERICAN SHEPHERD
MINIATURE AUSSIES