Your E-Mail address:

Your Phone Number:

Where do you live:

1. How did you hear about Epiphany Miniature Australian Shepherds?

2. Have you ever owned an Aussie or another breed of dog that is high drive, and requires a lot of exercise before?
Yes
No

3. Have you had a dog before, if so, what breed and for how long?
Yes 
No 

4. Do you have other animals now?
Yes
No

5. Do you have children? How many and what ages?
Yes
No

6. What are you interested in a Mini Aussie? (Check as many as apply)
Companion
Family dog
Conformation dog
Obedience dog
Other (Please explain)

7. Do you have a fenced yard?
Yes
No

8. How much time a day will this pup/dog be alone?
1 - 4 hours
4 hours or more

9. Have you ever trained a puppy before?
Yes
No

10. Will you have your dog spayed or neutered?
Yes
No

11. What color/sex are you interested in? (Check as many as apply)
Male
Female
Blue Merle
Red Merle
Black Tri
Red Tri
Doesn't matter

12. Additional comments or questions.