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Patriot Hill Farm,
Jana Brady
605 Mt. Olivet Church Road
Elkton, VA 22827
The information below will help us determine if we have a
puppy that will meet your needs and desires. This application was
intended to solicit brief replies but feel free to elaborate on any part of
this form that you like. When completed, please send this Application,
the Puppy Contract and the quoted deposit to me at the above address.
The individual who will be the buyer/handler/care-giver to the puppy must
fill out the application. Please note:
We do not place puppies as gifts to a
third-party under any circumstance. You must be 18 years or older to
apply for a Patriot puppy. Receipt of your application does not
guarantee a puppy placement. |
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Name: |
| Street Address: |
| City, State,
ZIP CODE: |
| Day Telephone:
Evening Telephone: |
| How long have
you lived at the above address? |
| Please
summarize your previous experience with dogs including any Border
Collies you may have owned, trained and or shown (titles earned):
(Please include any dog fancy clubs you are a current member of).
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| Please list all
children under 18 that will be living with this puppy:
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| Please list and
describe all other animals that will be living with this puppy on your
premises:
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|
Please describe
your ideal puppy: (Gender preference, physical characteristics, coat
color and length, temperament preferences, etc.)
Please list all available puppies on our website in your order of
preference.
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| What are your
goals for this puppy? (Companion pet, performance (describe what type
activity (ies) you would like to pursue with this puppy, ie,
herding/working, obedience, agility, tracking, search and rescue, etc),
conformation, or other:
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| Describe your
techniques that you intend to use for training your puppy?
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| What other
information would you like me to consider in matching a puppy to your needs?
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| Please list 3
references with current phone numbers who are not family members that know
of your ability to care for this puppy including at least one veterinarian.
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___________________________________
__________________
Signature of
Applicant
Date |