Each puppy is an individual, in order to gauge each ones strengths and innate abilities; all puppies are tested at 49-50 days old. To best match your needs to the puppy's attitude and orientation, please complete the following.

For what purpose are you looking to purchase a dog? Check all that apply.

__ Companion
__ Adult
__ Children
__ Ages _______________________________________
__ Protection for home and family
__ How many people are in your family?___ Adults___Children
__ Sports companion
__ Running, jogging, bicycling
__ Frisbee
__ Flyball
__ Agility
__ Other _______________________________________
__ For show prospects
__ Conformation
__ Obedience
__ Agility
__ Utility
__ Working livestock
__ Ducks
__ Goats
__ Sheep
__ Cattle
__ Guardian and herder of livestock on farm, type of stock_______________________________
__ Purebred breeding program
__ Other__________________________________

Have you owned an aussie before? ____________

Color Preference in order of preference:
__ Blue Merle
__ Red Merle
__ Black Tri
__ Red Tri
__ No Preference

Gender Preference
__ Male
__ Female

Do you have a fenced in area for the dog's exercise needs?
__ Yes How large?_________________________
__ No

Where will the dog live?
__ In the house
__ In a fenced yard
__ In a fenced kennel area How large? ______________

If you don't live locally, are you willing to take your puppy to obedience training in your area? Yes or No

If you are not purchasing a puppy to be included in a purebred-breeding program…

1.) All puppies will be neutered or spayed at 6 months of age. For the health and welfare of the dog, and increased ease in proper care and training of the dog. Remember, a male dog can smell a female in heat 3 miles away, and will go in search of! A female in heat will wander in search of a mate as well. Registration will be sent to you upon proof of neuter/spay.

2.) Mother nature will override training and the dogs innate desire to stay at home and protect you, your family, and your belongs as the dog wanders for a mate. The world does not need more unwanted mixed breed puppies as well as running the risk of your dog acquiring Berculosis (venereal disease) or being killed while wandering!
No puppies resulting from this dog will be registerable with any club such as MASCA and/or NAMASCUSA. Please be a responsible owner!

Aussies are extremely loving, intelligent, versatile and loyal. They excel in agility, flyball, frisbee, most any activity-involving interaction with their owners. Their innate desire is to be with you, to protect you, your family, and your home, to please you and be your best friend. Do not betray this love by chaining them. Aussies will become aggressive if mistreated in this way. They cannot protect while on a chain, which results in frustration and aggression. NEVER CHAIN AN AUSSIE!

Prospective Owner Name__________________________________

Address________________________________________________

Phone number___________________________________________

Amount of deposit______________ Date____________________

E mail Address___________________________________________

Please fill out this application and email it back to Dynasty Aussies (scuba0926@hotmail.com) or mail to:

Dynasty Aussies
Fran Withers
1688 Timber Ridge Bay Road
Aleghan, MI 49010