Puppy Application

* Indicates required field

Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

How did you hear about us? *

Have you read through our Puppy Information, Policies & Nutrition Page on our website? *

Yes No

Do you rent or own? *

Rent Own

If renting do you have permission from your landlord to have this dog? *

Do you live in... *

House Apartment Condo Trailer/ Motorhome

Do you have a fenced yard? *

Do you have a routine vet that see's your animals? *

Have you ever owned an Australian Shepherd? *

Have you raised a puppy before? *

Are you prepared to invest time & responsibility required to raise a puppy? *

Will you be attending any training classes? *

Have you ever returned a dog to a breeder or a shelter? Why? *

Other *

How many are in your family? children/ages? *

Do you currently own any other pets or livestock? Please describe below. *

How many hours a day with this dog be left alone? *

Where will the dog spend its time during the day? *

Where will the dog spend its time in the evening? *

Where will this dog sleep? *

Many living situations can change in the future, a divorce/marriage, a move, new baby, new job, illness, etc. Have you thought about how this may affect your commitment this DOG? Are you willing to give Benoit Farms first option to take this dog back before trying to rehome it yourself? As the breeder we want to make sure our dogs get placed in appropriate homes so they dont end up in shelters. This is our commitment to the dogs who come out of our program. *

What are you looking for? *

Pet/Performance/Working Pup on Spay/Neuter Contract with Limited AKC Registration Show/ Breeding Pup with Full Registration (Fill out additional questions at the bottom of the application)

Do you have a gender preference? *

Male Female Doesn't matter Undecided

What type of temperament are you looking for? *

Are you willing to accept a puppy reguardless of color or gender? *

Is there anything else you would like to share about your family and/or what your looking for? *

Additional questionnaire for those interested in Full Registration/Breeding Rights.

Kennel Name *

Website *

Have you ever competed or titled a dog previously? *

Do you plan to show this dog? *

We offer Full Registration/Breeding Rights on a case by case basis. We remain co-owners to these dogs till all health testing requirements are completed. Once all below are completed we sign off of the dog completely to you. *

CERF- OFA eyes OFA hips & elbows Paw Prints Genetic Panel

Tell me a bit more about your kennel and breeding program and what your breeding plans are for this dog. *

Puppy Application

Additional questionnaire for those interested in Full Registration/Breeding Rights.

Thank you for your application and considering a Benoit Farms Aussie for your family!!