Date
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MM
DD
YYYY
Name
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First Name
Last Name
City / State of Residence
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Phone
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(###)
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####
Email
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Have you or do you currently own a Border Collie?
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YES
NO
What do you plan on doing with your Border Collie?
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Herding / Working
Agility
Search & Rescue
Flyball
Service Dog
Family Companion
Other:
If other, what type of exercise and activities do you plan to engage in with your puppy?
If you are wanting your pup to be a service dog, please select which type of service dog:
Emotional / Psychological Support Dog for Myself or Others
Physical Support Dog
Therapy Dog (example would be: taking dog to retirement homes, etc.)
Other:
If you are interested in pursuing agility with you puppy, what is your current experience level and your ultimate goal?
Who will be responsible for the daily care of the puppy?
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What type of residence do you currently reside in?
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Farm / Ranch
City / House
Apartment
Other:
If other, please explain:
Do you have a securely fenced-in yard?
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YES
NO
Have you owned a dog before? If yes, please describe your experience.
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Are there any other pets in the household? If yes, please provide details.
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How many hours will the puppy be alone during the day?
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What are your plans for the puppy when you are away on vacation or unable to care for them?
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Is there anything else you would like us to know about your family, lifestyle, or specific preferences for a puppy?
What type, and physical attributes are you looking for in a Border Collie?
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What are the most important traits are you looking for in a Border Collie?
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Are you interested in a Male of Female Puppy?
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For non-breeding homes: We find there is little to no difference in male vs female puppies as far as disposition, training, and suitability. We do see different personality types from pup to pup (some are more outgoing than others, some show a stronger drive instinct than others, etc.), but these differences are not related to the sex of the pup. Please understand we have no control over how many males / females are born in a litter thus we may not have a pup available in a particular sex from a specific litter. Due to the number of people on our waiting list, as a general rule we are no longer able to move someone from the wait list from one litter to the next based on gender preference. If you are only interested in a specific sex of pup, please call Rachael to discuss.
Male
Female
Do you intend to breed your pup in the future or plan to spay / neuter?
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Are you committed to providing regular veterinary care, proper nutrition, and grooming for the puppy?
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YES
NO
Are you prepared to provide care and support for the entire life of the puppy?
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YES
NO
Are you willing to sign an agreement to return the puppy to us if, for any reason, you are unable to keep it?
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YES
NO
Additional Questions / Comments:
I am interested in adding a Big Coulee Border Collie to my family. Please contact me about your available puppies or getting on a waiting list. 🐾
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YES
NO