Contact Form
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Location
Street Address
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Please choose from the following.
*
I would like to know more about the breed
I would like to know more about upcoming litters
Have you owned a dog previously?
Yes
No
Have you ever owned a Border Collie or working type breed?
*
Yes
No
Do you currently own another dog, and if so what is it's gender?
Yes
No
Male
Female
Is your current dog spayed/neutered?
Yes
No
What types of activities will you do with your dog for daily exercise?
Walks
Agility
Running
Hikes
Teaching tricks
Fetch (ball, frisbee, etc.)
Free play in back yard
Free play with another dog
Puzzle games
Training/socializing
On average, how long are you gone from home each day?
2 or less hrs
4 hrs
6 hrs
8 hrs
10 hrs or more
If you are gone for more than 4 hours a day what are your plans for your dog while you are gone?
Dog Walker
Daycare
Take the dog with you
Crate
Pen with open crate and newspaper
Someone will check in or puppy sit
N/A
Comment/Question
*
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform