Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Spay/Neuter Agreement *

You Must check all boxes below for your application to be accepted.

I understand that this puppy is not to be bred and is required to be spayed/neutered (unless stated in the puppy agreement I sign), and I am subject to significant fines and other damages as stated in the contract if not spayed/neutered and/or bred.

I understand that the contract requires spay/neuter by 18 months of age, no exceptions.

Puppy Socialization *

I understand that you provide a good start for my puppy but that I will need to continue socializing my puppy once in my care. I understand that unsocialized puppies can be scared of strange people, children, car rides, other dogs and puppies, vets, groomers, different places and environments and may be subject to behavioral issues as a result of lack of socialization.

Yes

No

Does anyone in your family have allergies to dogs? *

Yes

No

My puppy is intended to be *

Please select all that apply

A Pet and Companion

A Service Dog or Assistance Dog candidate (provides specific tasks for one individual)

Emotional Support/PTSD/Anxiety Dog Candidate (I have a referral from or am under the care of a health professional for this)

A Therapy Dog candidate (provides comfort in facilities such as hospitals and nursing homes for a variety of individuals)

Herding Dog

Farm Hand

Will you pick up your puppy or need it shipped? *

If you are not within a reasonable drive, you will need to fly into our airport (Manchester - MHT) or (Boston - BOS), rent a car and pick up OR hire a flight nanny to bring your puppy to your local airport. We do NOT ship puppies in cargo.

Pick up

Delivered via car (Fees apply)

Hire a flight nanny

Puppy Pick up *

Since we are set up for litters and not for individual puppies, all puppies must be picked up on the day they turn 8 weeks old. If you are using the training service, the trainer will pick up your puppy. If you are using a delivery service, the delivery will either be on the day they turn 8 weeks old or the day before. Unless agreed upon otherwise.

I will arrange my schedule to pick up on the day the litter is due to go home.

Gender Preference *

Male

Female

Either

Color Preference - At least two colors must be selected *

**Please note that we do not guarantee availability of any particular color. We try as hard as we can to satisfy the aesthetic preferences of our clients, but temperament and health are always our primary goals and color comes after that.

Select All

Black Bi (Black and White)

Black Tri - (Limited Availability)

Red Bi (Red and White)

Red Tri (Limitied Availability)

Blue Merle

Red Merle

Fine Print *

Please read and agree to the following by checking the boxes before moving forward. All the boxes must be selected below for your application to be accepted.

I understand the application fee and any other future deposits are non-refundable, but are transferable to a future litter if the need arises.

I understand Painted Pup Australian Shepherds cannot guarantee timing on a puppy.

I understand that I am getting a puppy and that no matter how well prepared and trained my puppy is, it is still a baby and I should expect my puppy to have accidents in the house and crate, to cry and bark, to nip and bite, and to require a great deal of patience and attention. I understand that these are NORMAL puppy behaviors and that I expect them to happen.

I understand that while you provide a good start for my puppy, I need to learn how to train and maintain my dog's training and that may require the assistance of a dog trainer or behaviorist.

I agree to purchase at least a 30 day supply of the food my puppy was raised on.