Home Address: ________________________________________________________

City: ________________________ Province: ___________ Postal Code:_________

Home Phone: (____) ________________ Best time to contact you: _____________

Work Phone: (__) ________ Fax: (___) __________ Email:______________________

Your occupation:________________________________________________________

You want a dog for (put X next to all that apply):
companion
performance (obedience / agility)
show
breeding

Do you work at home or office?
Can you go home at lunch break?

Who will be dog's primary caregiver? ______________________________________

Relationship? Spouse: ______ Parent or Guardian: _____ Other: _______________

Why do you want a Shetland Sheepdog? ___________________________

Is there anyone in the home who may be adversely affected by care of dogs (allergies, etc.)? _______

Please describe:________________________________

Do any visitors bring pets to visit? Y / N If yes, describe: _____________________

Do ALL members of the family want this dog? ______________________________

Please list ages of people with whom the dog will have frequent contact
(care-givers, children, grandchildren, friends' children, etc.): _______________________

Any concerns about dog hair, dog smell, dogs on furniture? _________________

Do you live in a: House ___ Townhouse ____ Apt. ____ Duplex ____ Condo ____

Do you rent or own your residence? (circle) Rent Own

If you rent, do you have landlord's permission to have a dog? (circle) YES NO

Any size restrictions on the dog you can have? _____________________________

Size of fenced yard: ______________ Type and height of fence: _______________

Type and height of gate:____________________________

Is gate locked? Y / N Where will the dog be during the day? _______________________________

Where will the dog sleep at night? ______________________________________

How long will the dog normally be left alone each day? _____________________

Will this be your first dog? Y / N
Will this be your first Sheltie? Y / N

Where (from whom) did you buy your last Sheltie? _________________________

Other dog breeds you have owned: ________________________________________

Where are they now? ____________________________________________________

List any dogs or cats you have now and if they are spayed or neutered:

________________________________________________________________________

Do your current pets get along with other pets? Yes ________ No _________

Will your dog have the run of the house, be in blocked-off portions
of the house, use a crate, x-pen, be tied outside, or live in the yard?

______________________________________________________

Will your dog be allowed on the furniture or bed? __________________________

Are you aware that Shelties BARK, are active and they shed all year? Y/N

How often will you brush / groom the dog yourself? ________________________

How often will you take the dog to a groomer? ______________________________

Will the dog be walked daily? _______ Exercised in fenced yard? ______________

Shelties may not be walked off leash in unfenced areas
unless they have been thoroughly obedience trained. (Please initial) ______________

Do you plan to take an obedience course with your dog (recommended)? Yes______ No ________

Have you ever taken an obedience course with a dog? Yes________ No______

Are you aware that no dog may be allowed to roam? (Please initial) _________

What activities will you do with your dog (conformation, obedience, agility, herding, other)?

_________________________________________________________

Have you ever house-trained a dog / puppy? Y/N

Have you used a kennel/crate or x-pen to assist in training a dog (recommended)? Y/N

When you go on holidays, who will care for your dog?

Boarding kennel?____ Dog sitter - their home?_____ At-home dog sitter?_____

When you are away from home all day, do you have a dog walker? Y / N

Are you aware that costs of maintaining a dog average $600 - $800 / year? Y / N

Age preference (check): Puppy (age 1 or less)_____ Adult (2-5)_____

Sex preference (check): Male________ Female________ No preference _______

Color preference (check): Sable & white ___ Tri color___ Blue merle_____

Describe the characteristics that you want your dog to have:

_______________________________________________________________________

Describe the characteristics that you do NOT want your dog to have:

________________________________________________________________________

Please describe your family, including human visitors, visiting pets, annual holidays,
and any special activities in which your dog would be included:

________________________________________________________________________

References (at least three references required)

________________________________________________________________________

VETERINARIAN: name, location and phone of most recent veterinarian(s):

________________________________________________________________________

DOG CARE: name, location and phone of recent groomer, dog sitter or kennel:

___________________________________________________________________

I authorize my veterinarian(s) to release information about pets in my care.

I understand that a companion puppy must be spayed or neutered.

Showing or breeding of the dog would be only by special contract with Azarel

Applicant's Signature: __________________________ Date: ____________________

Co-Applicant's Signature: _______________________ Date: ____________________

Completion of this application does not imply or guarantee that a puppy
will be available to you from Azarel Shetland Sheepdogs.

Please return this application to:

Zara Heartwood
Azarel Shetland Sheepdogs
Quesnel, BC
zheart@telus.net

Azarel Shelties - Raised Naturally

For optimum health, we nurture our Shelties with love,
a biologically appropriate raw diet
a healthy balance of raw meats and raw bones,
rare seasonal fruits and veggies, no grains,
minimal "medical" intervention and no pesticides.

Azarel Shetland Sheepdogs
Quesnel, British Columbia, Canada