Questionnaire Form

First and Last Name:*

Address:*

City:*

State:*

Zip Code:*

Phone Number:*

E-mail address:*

How did you hear about us?:

Have you done research on Border Collies?:*
yes
no

Why do you want a Border Collie?:*

Which litter are you interested in?:

Which puppy are you interested in?:

Are you looking for a male or a female?:*
Female
Male

What is your ideal Border Collie structurally? Any color or marking preference?:*

Please describe the temperament of your ideal Border Collie.:*

What are you interested in training the dog in:*
Agility
Bikejoring
Cani Cross
Conformation
Disc Dog
Dock Diving
Dog Scootering
Dog Surfing
Flyball
Herding
Lure Coursing
Mushing
Musical Canine Freestyle
Obedience
Other
Pet Therapy
Rally Obedience
Schutzhund
Search and Rescue
Skijoring
Tracking
Weight Pulling

If other, please list it here:

Do you have any experience in these activities? If so, please describe.:*

Are all family members in agreement on getting a Border Collie?:*
yes
no

Who will be the primary caretaker of the dog?:*

Do you own or rent a home?:*

If you rent, does the landlord allow dogs?:
yes
no

Where will the dog spend most of its time?:*
In a fenced yard.
In a kennel run.
In the house.
Loose outside.
On a chain or leash.

How many hours a day will the dog be left alone?:*

Do you plan to spay/neuter?:*
yes
no

Are you interested in or do you plan on breeding?:*
yes
no

Do you understand the difference between a limited registration and a full registration?:
yes
no

When do you plan on adding a new puppy to your household?:*

If shipping, please list your closest airport(s):

Will you send photos of the dog as it grows up?:*
yes
no

Do you agree that if you can no longer care for the dog to give it back to us?:*
yes
no

Please include any other information you feel would be helpful:*

Do you have any questions, comments, or concerns?:*

Please type the text below: