Your Name:

Your Occupation:

Spouse's Name:

Spouse's Occupation:

Street Address:

City:

State:

Zip:

E-mail:

Home Phone:

Work Phone:

(optional)

Cell Phone:

(optional)

Who lives in your household? If there are children in your household, tell us their names and ages:

Are there other animals in your household? Yes No

If yes, let us know what kind of animals and the age of each:

Whose responsibility will it be to feed, walk, train and socialize your puppy?

Where will the puppy sleep?

Do you plan to crate train the puppy?
Yes No Tell me about this so I can decide

Will someone be home with the puppy during the day? Yes No

Where will the puppy stay during the day if you are not home?

What accomodations will you have for your dog when you travel?

Describe where you live; is it a house, condo, apartment, something else?

Do you have a fenced yard? Yes No

Have you ever owned a dog before? If so what breed and for how long?
Yes No

Have you owned a Herding breed before? Yes No

Please tell us why you are interested in a PON puppy.

Do you hope to breed this dog in the future? Yes No

If yes, are you willing to have the dog screened for hip and eye abnormalities?
Yes No

If you plan to breed this dog, have you ever bred a dog before? Yes No

Do you plan to show this puppy in dog shows (conformation)? Yes No

Do you prefer: Male Female No Preference

Do you have a color preference? Yes No No preference

If yes, what color(s)?

Please describe the qualities you are looking for in your PON, what type of personality fits you best?

Is there anything else about you that would help us pick a suitable puppy for you?

What questions do you have that we can answer about PONs or our puppies?