Name (full legal name): :*
Phone (include area code): :*
E-Mail: :*
City: :*
Country: :*
Your website (if you have one): :
Your kennel name "Prefix" (if you have one): :
When did you decide that a Border Collie was for you and why? :*
Have you read any books on the Border Collie or researched any information about this breed? :*
List other pets or animals you have. (Species, breed, age, sex) :*
Have you had pets in the past, which you no longer have? If yes, how did you lose them? :*
Have you ever bred a litter? If so, why? :*
Have you ever surrendered an animal to an animal shelter or rescue organization? :*
How many people live in your household? :*
How many adults? :*
What are the occupations of the adult(s)? :*
Do you have any children? :*
yes no
If "yes" how many? What ages? :
If "no", do you have any young children that visit frequently (list ages)? :
Do you live in a house, condo, townhouse, or apartment? :*
Do you rent or own? :*
Have you ever owned a Border Collie? :*
yes no
Have you ever bred Border Collies or any other breed of dog? (if "yes" please specify!) :*
Do you ever plan to breed Border Collies? :*
yes no
Why do you want a Border Collie? :*
How many hours a day would the dog be left alone? :*
Would the dog be spend most of its time inside, outside, or both? :*
Where would the dog be when you are home? :*
Where will the dog sleep? :*
Is there any shelter outisde for the dog from the sun or bad weather? :*
Where will the dog go when you are on vacation? :*
Do you have a yard? :*
If so, what kind of surface (grass, dirt, etc)? Size? :*
Is the yard fenced? If so, what kind of fencing and how high? :*
Do either you or your neighbors have livestock? :*
What activities do you plan to do with your Border Collie (CHECK all that apply): :*
4H
Agility Trials
Camping
Canine Freestyle Dancing
Conformation Showing
Family Pet
Flyball
Herding
Hiking
Jogging
Junior Handling
Movie/Commercial Work
Obedience Trials
Rally Obedience
Search and Rescue
Tracking Trials
How do you plan to train your dog? :*
Private Trainer
Training Classes
Yourself
Choose five of the following traits that you value most: :*
Coat
Colour
Drive
Good with children
Health
High energy
Low energy
Outgoing
Structure
Temperament
Working Ability
Describe the physical characteristics you want in your Border Collie (ear set, marking, etc;): :*
Describe the personality you want in your Border Collie: :*
Male or female? Why? :*
List the dog clubs you are a member of and how long you have been a member: :
If you have dogs what activities, if any, do you participate in? :
What are the highest titles you have attained in the venues you have competed in? (if applicable) :
Have you heard of limiting or completely withholding vaccinations? :*
yes no
Have you heard about the possible dangers of over vaccinating? :*
yes no
Would you be comfortable limiting or completely withholding vaccinations? :*
Maybe (need more info)
No
Yes
How do you plan on exercising your puppy, both mentally and physically? :*
If you are purchasing for a companion only, how do you feel about a spay/neuter contract? :*
Do you prefer a puppy or an older dog? :*
Have you ever been suspended by CKC, CBCA, AKC, ABCA or any dog club? :*
yes no
References: List three people that can act as your references. Please no family members. :
REFERENCE #1 :*
REFERENCE #2 :*
REFERENCE #3 :*
How did you hear about me? :*
Are you plannning on moving out of your current country of residence at any time? :*
Will you ever move to China? (Yes, I'm serious!) :*
Are there any other questions, comments, or concerns? :*
Please type the text below :
