Which of the following activities are of interest to you?
(check all that apply)

Have you ever earned a title on a dog? Yes No

If Yes, please list below what types:

Are you planning on attending training classes? Yes No

If you are not planning on showing in conformation, are you willing to have your Border Collie Spayed or Neutered?
Yes No

Do you currently own any other dogs? Yes No

If Yes, please list them below along with breed, age, sex and spay/neuter status:

If you currently do not own any dogs, can you tell me about your past experience with dogs and/or Border Collies specifically?

Do you have young children? Yes No

If Yes, please list their ages below and give me a brief idea of their exposure to dogs:

Is your yard fenced? If not what are your plans for exercising your dog?

Does anyone in your family have allergies to dogs? No Yes Don't know

Who will be the primary care giver?

How many hours per day will this dog be left alone? 1-3 3-6 6-9

Where will the dog be when no one is home - loose, crated, confined to kitchen, garage,yard,kennel or other?

Where will the dog sleep at night? - on the bed, loose, crated, confined to kitchen,basement,garage,yard,kennel or other?

Do you have any livestock, cats or other animals other than dogs?  If so, please list.

Have you ever given a dog up to a shelter, pound or rescue group, if yes please explain?

Have you ever returned a dog to its breeder, if yes please explain?

Are you willing to stay in regular contact with us for the life of the dog and provide updates and photos?
No Yes

How much do you expect to pay for a puppy?

Do you plan to pick up or have your puppy shipped or delivered to you?

Have you spoken with any other breeders? Yes No

If Yes, please list them below:

Have they added you to their waiting list? Yes No

How did you learn about my Border Collies?

Are you at all interested in being contacted about an older dog or older puppy needing placement? Yes No