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Potential Puppy Buyer Screening Questionnaire

Name:       

Address:       

City:           

State:            Zip: 

Home phone:       Work: 

Cell:          E-Mail address: 

Have you ever owned a SHELTIE before?   Yes: No:

Why have you decided to purchase a Sheltie?  

Do you prefer a Male: or Female:   No Preference:       

Color Preference:  Sable:    Black/White Tan:    Blue Merle:    Bi-Black:  Bi-Blue: 

Family pet:    Agility:     Obedience/Rally:    Conformation/Show:    Herding:    Breeding:    Other:    

Explain Other:   

Do all family members want a new puppy and or adult sheltie?  Yes:    No:  

Do you have children?  Yes:    No:         List family member's ages including adults

Who will train and be the primary care giver of the puppy/new dog?

Do any family members have allergies to dogs?  Yes:    No:   

Do you live in a:house:    Apartment:    Condo:    Mobile Home Park:  Other: 

Explain other:   

Do you?  Own your home:    Rent:    Other:   

Explain other: 

How tall is your fence?    What type of fence?    

Secure enclosed yard: Yes   No: 

Do you have a:  swimming pool:  Yes:    No:    In-ground:    Above-ground:    

Is the pool fenced?  Yes:    No:    Describe fencing: 

Where will your sheltie be kept during the day:  House:    Dog run with doghouse: 

Yard with doghouse:    Combination of the two:    Which two:    

Is anyone home during the day?  Yes:    No:   

How many hours on average will the puppy/new dog be left alone? 

Will there be someone available to feed and exercise the puppy during the day?  

Yes:   No:  

Where will your sheltie be kept at night?  House:    Dog run with doghouse:    Yard with doghouse:    Garage:    Shed:   

Would you consider tying or chaining your sheltie outside?  Yes:    No: 

Will your sheltie have direct access to the house or next to the house?  Yes:    No: 

Do you have a:  Kennel run:    Yard:    Crate: 

Will your puppy be raised as a member of your household?  Yes:    No: 

Are you willing to spay/neuter your sheltie?  Yes:    No:    

If not, why?  

Do you currently own any other dogs?  Yes:    No:    

If yes, list breeds and ages:

Do you have any other pets?  Yes:    No:   

What are they?                           

Have you ever owned a dog before?  Yes:    No: 

What breed?  Sheltie?   How long? 

What happened to them?

Have you trained a dog before?   Yes:    No: 

Have you ever euthanized a dog before?  Yes:    No:  

If yes, why? 

Since shelties & dogs in general require high maintenance care, are you able to clean ears, eyes, coat, and trim nails on a  regular basis?  Yes:    No: 

Do you have a Veterinarian?  Yes:    No:    

Vet Name and phone number:

Is your Vet familiar with shelties and willing to consult with our Vet if needed and with us in regards to care?  Yes:    No: 

Have you ever completed an A.K.C. title:  Yes:    No:   

Check titles completed:  Obedience:   Conformation:    

Other:  , List any titles?

Which Dog Clubs (if any) are you a member of or train at (please include any offices held)?

What type of personality are you looking for in your sheltie?

Have you considered an older dog instead of a puppy?  Yes:    No:   

How old?

What do you expect the activity level of the sheltie to be?  High:    Moderate:    Below average: 

What kind of floor surface will the dog be on in the home? 

Have you ever housetrained a dog before?  Yes:    No: 

Have you ever returned a pet to the breeder?  Yes:    No:    

If yes, for what reason?

Have you ever given a pet away?  No:    Yes:    

If yes, what were the circumstances?

Have you ever taken a pet to a dog pound or animal shelter?  Yes:    No:  

If yes, what were the circumstances? 

Are you committed to caring for this dogs needs for its entire lifetime?  Yes:    No: 

The puppy purchased from us will receive an A.K.C. Limited Registration (except those placed in show homes that will be shown).  Limited Registration Means that the dog is registered but no litters produced by that dog are eligible for registration.  Each registration certificate for such dog shall carry notice of the limitation, and the limitation shall continue, regardless of any change of ownership, unless and until the owner(s) of the litter at birth shall apply to A.K.C. for removal of the limitation.  A dog registered with an A.K.C. limited Registration shall be ineligible to be entered in a breed competition in a licensed or member dog show.  It is eligible, however, to be entered in any other licensed or member event.  These events include:  Obedience, Tracking, Field Trials, Hunting Tests, Herding, Lure Coursing, Agility and Earthdog.

Do you object to signing a written contract if you are approved prior to the purchase?  

Yes:    No:    (See our sample written contract below....)  

Additional comments:  

 

 

This questionnaire will be made a part of the contract below upon purchase.

 

Please click on the "Submit" button below when you are ready to submit your completed application.  Thank you for your interest in our dogs.

                                                           

 

SAMPLE CONTRACT OF SALE 
Mystique Shetland Sheepdogs
 
 

DATE OF SALE: ____________________ SEX:                         DOB:  ______

SIRE: ____________                                                              AKC#:  __________

DAM:                                                                                           AKC#:  __________

 PUPPIES AKC#: ___________ 

     You have purchased a purebred Shetland Sheepdog.  This puppy is eligible to be registered by the American Kennel Club (A.K.C.).  This Sheltie is sold strictly as a companion and is not considered show or breeding quality.  He/she is guaranteed to be free of current health problems at the time of sale and any major genetic defects proven to be hereditary for the first year of life.  Major genetic defects meaning, a defect that would render this puppy unsuitable as a companion.

     It is strongly recommended that you have this Sheltie checked by your own vet within 72 hours of purchase.  If, within that time, your vet determines that this puppy is seriously ill, you may have the puppy replaced as soon as one of comparable quality and price is available.  Written proof of disease or defect MUST be sent from your vet to me and I reserve the right to get a second vet's opinion at my expense regarding the problem.   The original puppy MUST be returned to me.  Health problems shall NOT include mild parasitic infestation or evidence of neglect or abuse on your part.  You agree to pay any difference in price on a replacement puppy from me.  Failure to comply with this “72 hour” vet exam shall make the "time of sale" health guarantee null and void.

     The buyer agrees not to use this Sheltie for breeding.  Spay/neutering of this Sheltie is required and is to be completed by the age of six months or on or before ________(date).  Should you breed this sheltie, there will be a breach of contract penalty fee imposed of $5,000.00.  A.K.C. papers will be given on a “limited registration” basis, meaning that any offspring from this Sheltie will not be registerable with the A.K.C.  Limited registration also means that this sheltie will be eligible to compete in A.K.C. obedience/performance or herding events, but ineligible to compete in conformation (breed competition) events. 

     You agree that, should your personal circumstances change, forcing you to have to give up your sheltie, that you will contact me first prior to placing he/she in any type of shelter or rescue organization. 

     Additional terms:  ____________________________________

     This Sheltie has been purchased for a total price of $_________________.

      I acknowledge receiving a signed and dated copy of this agreement and agree to abide by all conditions herein:

 Signed by Buyer: ___________________________________Date: __________

 Print Buyer’s Name:  ________________________Phone # (        )______________

 Buyer’s Address:_____________________________________________________________

 

Signed by Breeder/Seller:

 __________________________________Date:___________