Harmonic Collies Potential Puppy Owner Questionnaire

Harmonic Collies Potential Puppy Owner Questionnaire

~Please complete this Questionnaire then click Submit Button after Completion~ This Application Is Just A Beginning Step In The Process. All information will be Confidential to be used only by Harmonic Collies for consideration of a Harmonic Puppy. ~Please Complete This Entire Form Below~ Thanks for your cooperation and interest in Harmonic Collies~
Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
E-mail
How did you learn about Harmonic Collies?
Do you currently own other pets?
If so, please describe Species; breed if a Dog, and Age.
If you do not currently have a Dog have you currently own a Dog If so what Breed?
What happened to that/those Dogs(s). If they are deceased how/why They died and at what age?
Why have you chosen a Rough Collie to become part of your family?
Are you familiar with the Rough Collies Grooming Needs, Nutritional, And Level of Activity?
Do you have any anticipated Major Life Event Changes, Caring for Elderly Sick Relative, Pregnancy, Etc? IF “Yes” please describe
Do any Family Members have Allergies to Dogs?
Are any family members afraid of dogs?
Is it a problem if your collie should bark excessively?
Is someone home during the day, or able to get home to place puppy Outside for “POTTY”? If “No” what arrangements will you be making for you new pup?
Do you live in a (House/Apartment/Condo?)
Do you (own/rent/lease) your Residence?
Where will your Collie be housed at Night?
Do you have a Fenced Lot with Gate?
Please Describe your Yard Size And Fencing?
If your Yard is not fenced or you do not have a Chain-Link Fence Would you be willing to install it before you bring your Puppy Home?
Collies live approximately 10 to 14 year. Are you committed for all these Collies Needs throughout His/Her Life?
What Gender do you prefer?
Are you looking for a puppy or Adult ?
Would you consider a Champion Adult?
If you have selected a preference, would you be willing to want the Opposite Sex if Your Preference is not available?
Do you have a Color Preference for your Collie pup? If Yes, Please Explain.
Would you consider a different Color Preference that is available?
Have you ever gone to a Dog Show? If Yes, What Interested You There?
Is this Puppy/Adult for a Show breeding Home?
Is this Puppy/Adult for a Companion Pet Home?
Is this Puppy/Adult for agility?
Do you have any interest to Train This Puppy for future use in Obedience, Agility, Herding, Conformation Shows?
Who will be the Primary Caretaker for Feeding, Training, Exercise, Grooming, and Socializing for this Collie Puppy?
Have you Crate Trained a Dog/Puppy?
Do you Agree to Sign a CKC NON-Breeding Contract ?
Can you give your Puppy Unconditional Love?
Are you willing and able to meet with us in our home for a personal interview?
Who are you buying this Puppy for?
Is this puppy going to be a surprise for someone special in the family?
How do you plan on exercising your Rough Collie?
Do you have a Regular Lawn Service?
How much exercise do you think a Rough Collie requires per day?
Would you be willing to provide us with References, who know how you are with animals
Are there any children in the family? If so, please state their gender and ages.
Are you willing to take this dog to obedience classes so that he/she will be an enjoyable Companion and a Good Canine Citizen?
Please include any comments that will help me select the right puppy for you?
Are there Restrictions in your neighborhood regarding dogs?
By Submitting This Application To Harmonic Collies. I Am Acknowledging that the Information Entered on this Application is Completely Correct and True. I understand that is Application is the Beginning Step in the Interview Process. I understand that sending this Application Does Not Automatically Entitle Me to a Puppy/Dog? I understand that All Information will be Confidential to be used only by Harmonic Collies for Consideration of a Harmonic Puppy/Dog. Thank You For Your Interest In ~ Our Collies.~
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