TESA AUSTRALIAN SHEPHERDS
 

NAME ______________________________________________________________ 
ADDRESS ___________________________________________________________ 
TELEPHONE _________________________________________________________ 
REFERENCE (i.e., veterinarian, breeder) _____________________________________
WHO IS THIS AUSSIE FOR? _____________________________________________
WHY AN AUSSIE (e.g., companion, child)? ___________________________________ 
WILL BE KEPT INDOORS OR OUTDOORS? ________________________________ 
FENCED YARD? _______________ IF NOT, HOW WILL DOG BE CONTAINED? ______________________________________________________________________ 
LOCATION OF HOME (city, country, suburbs)?________________________________
NUMBER OF PEOPLE IN HOUSE____________________________
AGES OF CHILDREN ______________________________________ 
HAVE YOU PREVIOUSLY OWNED ANY ANIMAL(S)? __________ 
WHAT KIND? ___________________________________________________________
REASON NO LONGER OWNED____________________________________________ ________________________________________________________________________
DO YOU CURRENTLY OWN ANIMAL(S)? _________ WHAT KIND?_____________ ________________________________________________________________________
DO YOU INTEND TO CRATE TRAIN YOUR AUSSIE? _______________
DO YOU INTEND TO TAKE YOUR AUSSIE TO PUPPY KINDERGARTEN?_____________________________________________
WILL YOU GO FOR BASIC OBEDIENCE TRAINING LATER?_________ 
IF COMPANION, WILL YOU ENTER INTO A PET CONTRACT
 (i.e., spay, neuter)?_______________________________________________
IF SHOW QUALITY, WILL YOU ENTER INTO A SHOW CONTRACT
(i.e., co-own until finished)? _________________________________________ 
OTHER PERTINENT QUESTIONS/INFORMATION _____________________________________________________________________________ _____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________