Please provide the following contact information:
Who will be the primary care giver for this puppy
(please list name and age of this person)?
How many adults reside in the home where the puppy will stay?
How many children age 6-18 live in the home?
How many children 3-5 live in the home?
How many children 0-2 live in the home?
Do all adults agree to the purchase of a Border Collie puppy?
Yes
No
Are there any individuals in the home with an allergy to dogs?
Yes
No
Have you ever owned a Border Collie before?
Yes
No
What happened to your last dog?
How often will children age 9 or older be responsible for the dog's care?
How often will children under age 9 be responsible for the dog's care?
How many other "inside" dogs do you own now?
How many other "outside" dogs do you own, now?
List the breeds, ages and gender of the dogs you own now:
How many cats are in the home?
How many daytime hours will the puppy be home alone?
How many evening hours will the puppy be home alone?
Are you familiar with the use of a crate for housebreaking a puppy?
Yes
No
Are you in favor of / willing to use a crate to housebreak a puppy?
Yes
No
Besides for potty breaks, where will this puppy be kept during the daytime?
Indoors
Outdoors
Besides for potty breaks, where will this puppy be kept during the evenings?
Indoors
Outdoors
If left indoors without supervision, how will this puppy be managed?
In a crate
Loose in house
Confined to a room
Other - specify below
If left outdoors without supervision, how will the puppy be managed?
Tied out
Kennel / Pen
Run loose
Fenced Yard
No unsupervised outdoor time
Other - specify below
How will the puppy be exercised outdoors?
Tied out Run loose Fenced yard Kennel / pen
Walk on lead Other - specify below
When you go out of town or on vacation, who will care for the puppy?
Do you foresee any life changes in the next 5-10 years that would prevent you from keeping your dog? What would that be?
If you could not keep this puppy for any reason, what would you do with it?
Please explain why you are interested in a puppy at this time:
Please explain why you are interested in the Border Collie breed, specifically:
Choose any of the activities that you plan to do with your Border Collie:
Herding - ranch/farm work Herding - hobby trialing Obedience Agility
Tracking Flyball Camping Search & Rescue
List any other activities you plan to do with your Border Collie:
Have you ever trained a dog before? If so, please briefly describe the methods that you used.
Are you willing to seek professional training help (dog obedience classes etc) to help you with any behavioral problems you might encounter?
Yes
No
Do you currently have a Veterinarian? If so, please list name and practice.
Would you be opposed to me contacting your Veterinarian for a reference?
Yes
No
Please specify what gender puppy you would like:
Female
Male
Either
Some of our litters may have both rough and smooth coated puppies. Please specify your requirements:
Rough Only
Smooth Only
Best Puppy For Me (Either coat type)
Some of our litters may have a variety of coat colors. Please select the colors which you would find acceptable:
Black & White Black, White & Tan (tri-colored) Red & White Red, White & Tan (red tri-colored)
Do you understand that we do not place puppies with
breeding rights?
Yes
No
Please provide the details to any "Other" option
you chose in an above question and/ or provide any additional information you
would like to share about acquiring a DarnFar Border Collie puppy: