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Puppy Application



Fill out the following information to be put on our waiting list!

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Please provide the following contact information:


First name
Last name
Street address
Address (cont.)
Zip/Postal code
Work Phone
Home Phone

Why do you want a collie?

Do you have any pets currently?

What kind of pets do you currently have?

Do you plan on showing your new puppy?

Please list all animals that you have had in the past five years and what happened to them.

Please list the name and address your Veterinarian

If you do not plan to show your puppy do you agree to spay/neuter your pup?

If for some reason you had to give up your new puppy would you agree that the pup comes back to Countryhaven?

Do you have a fenced in yard?

If you do not have a fenced in yard how do you plan on exercising your puppy daily?

What do you think the cost per year will be for the maintenance of your new puppy?