Rockin'P Puppy Questionnaire 

 

Stephanie Peterson-Weidner

            Pekin, IL.

       309-382-1268

            Email us

 

 

Thank you for inquiring about our Australian Shepherds. Rockin'P Australian Shepherds is located in Pekin, IL. We are not a  full-time kennel, but we do breed occasionally to produce what we believe to be quality Australian Shepherds who make wonderful companions and competitors. When we have litters, it is important to make certain our puppies are sold to loving, well prepared,  committed homes. We do our best to screen the owners to ensure a good match between the puppy and the buyer. In an effort to ensure that our puppies are going to receive the love and care they will require throughout their lives, we ask all potential buyers to complete this questionnaire. If you wish to be put on our waiting list you must complete and return the questionnaire to us.  

 

CONTACT INFORMATION: If you are interested in purchasing a puppy, please provide us with your contact information so that we may reach you.

 

 

* Denotes Required Field

   

Name*
Street Address*
City*
State/Province*
Zip/Postal Code*
Home Phone*
E-mail*
Hours we may contact you ? 9am to 5pm
 


Why are you interested in owning an Australian Shepherd?
 

What age of dog are you interested in? 


Sex:


Color:

Will you consider a puppy of another color or sex if your preference is not available?
Yes No

How soon are you looking to get a dog?

 
What sort of activity level are you comfortable with?

Do you intend to compete with your dog?
Yes No Maybe

If you do plan on competing, please check any areas of competition that may interest you:

         Conformation
         Obedience
         Herding
         Agility
         Tracking
         Flyball
         Frisbee
         Breeding

Other Activities:

All companion puppies are sold with Limited Registration papers and spay/neuter contracts. Are you comfortable with this?
Yes No

TELL US MORE ABOUT YOURSELF


Do you own, or rent your home?
Own Rent


What type of dwelling?



Do you have a fenced area or yard for the dog?
Yes No


Australian Shepherds need a secure place to stay when their family is away. It is important to think about where the dog will live when you are at home, away at work or when your family leaves for vacation. This is a very active breed that needs regular exercise and owners need to be prepared to make time to provide an organized outlet for this energy. Daily walks, bike rides, swimming, frisbee or games of fetch are all good ideas for keeping your dog stimulated and happy.


WHAT HOUSING AND EXERCISE ARRANGEMENTS DO YOU HAVE PLANNED?

Is anyone at home during the day?
Yes No


Is anyone at home during the night?
Yes No


Where will the dog be kept during the day?  Example: Crated, In the yard, Loose in the house, etc.



Where will the dog be kept at night?   Example: Crated, In the yard, Loose in the house, etc.



Do you have a plan for caretaking while you or your family leave for vacations?
Yes No

If, yes, please explain where the dog will be kept.
If you are established with a vet, please provide name, address and phone of vet.