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Whitehall Collies
Puppy Parent Application
Please fill in completely and email to Whitehall Collies
First Name
*
Last Name
Phone
*
Email Address
*
Street Address
*
City
*
State/Province
*
ZIP / Postal Code
Own/rent your home?
*
Own
Rent
If renting, does your landlord approve a dog up to 80 lb?
Yes
has not been notified
List dogs you have owned in the last 5 years (breed and age when acquired, spayed/neutered status and where the dog was acquired from.)
*
Do you still own these dogs? If not, what happened to them?
*
Name and contact information of your veterinarian
*
List any other pets in your home
*
List any other pets in your home
*
Heartworm preventative
Flea/tick preventative
Do you need information about drug sensitivities sometimes found in collies?
*
Yes
No
List family members living with you and their ages.
*
Is anyone in your family allergic to animals?
*
Yes
No
Is everyone in your family supportive of the addition of a collie to your household?
*
Yes
No
If no, explain:
Do you have a fenced-in yard (dog secure)?
*
Yes
No
Is anyone home during the day?
*
Yes
No
If no one is home during the day, what provision will be made for the puppy?
*
Are you familiar with all local ordinances and neighborhood restrictions, if any, on dog ownership, and will you be compliant with all of them if you own a collie?
*
Yes
No
Do you plan to chain or tie your collie outside at any time?
*
Yes
No
May I come or send someone to perform a home visit?
*
Yes
No
Are you or your spouse currently serving in the military?
*
Yes
No
Have any of your pets ever been taken to Animal Control or Rescue?
*
Yes
No
If Yes, Explain
Have you or any member of your household ever been cited for animal neglect or cruelty?
*
Yes
No
If Yes, Explain
Have you ever had a pet stolen or disappeared from you?
*
Yes
No
Have you ever had a pet that was poisoned?
*
Yes
No
Have you ever had a pet hit by a car?
*
Yes
No
Have you ever had a pet die from disease?
*
Yes
No
Have you ever had a pet you had to place?
*
Yes
No
Please explain if “yes” to any of the above
*
Why do you want a collie?
*
Do you plan to groom the collie yourself or take it to a professional groomer?
*
Groom myself
Professional groomer
Do you have experience grooming a long coated dog? Describe.
*
What do you plan to feed your collie?
*
What are your plans for socializing and training your collie?
*
Have you ever owned show dogs/shown a dog? Describe your show experience:
*
What types of activities would you be interested in participating with your collie?
*
Therapy
Agility
Herding
Obedience
Conformation Showing
Rally Tracking
Are you interested in membership in your state Collie Club and/or the Collie Club of America?
*
yes, already a member
yes, please send me information
no
Are you interested in membership in your state Collie Club and/or the Collie Club of America?
*
yes, already a member
yes, please send me information
no
Contact name/phone and Clinic Name of your regular veterinarian
*
Do you know any AKC Collie breeders who could give a reference for you? If so, please furnish their name and contact phone
*
Would you prefer a puppy or an adult collie?
*
puppy
adult
either
Which gender would you prefer?
*
male
female
either
What color would you prefer?
*
sable/sable merle
blue
tri (black and tan)
white
If a puppy/adult of your indicated preferences above is not available at this time, will you consider an alternative choice?
*
Are you on a waiting list with any other breeder(s)?
*
yes
no
Will you be crate training your puppy?
*
yes
no
Do you have someone ready and able to care for your puppy if you must travel or in case of an emergency? Please write contact information
*
Anyone obtaining a dog or puppy from Whitehall Collies must sign a contract agreement committing to a level of care and that the dog will not be transferred to a third party without our knowlege and agreement. Companion animals are sold under limited AKC registration. All puppies will have age-appropriate vaccinations, worming, a microchip and eye checks before going to their new homes at minimum 9 weeks of age. We begin bridging/tipping ears at approx. 6 weeks of age. Payment in full is required before taking possession of your dog or puppy. Exchanges, return or refund are at the discretion of the breeder
*
I (we) understand and agree to these requirements.
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About Us
Media
About Our Collies
Puppies
For Sale
Upcoming Litters
Our Dogs
The Ladies
The Guys
FAQ
RESOURCES
Contact
Contact
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