Please provide the following contact information:

Please describe your family:

How did you hear about Southern Rose Kennels?

What breed(s) of dogs have you owned in the past?

What other kinds of pets do you own?

Describe the "perfect" Miniature Australian Shepherd (personality, traits, etc):

What activities do you plan to do with your dog?

What are your non-pet related hobbies?

Check any of the following that apply:

Own Home              
Rent                   
House with patio only  
Apartment/Condo      
House with yard        
Farm/Ranch             
Other                 

How do you plan to confine your dog while you are gone?

Will your dog be primarily be

outdoors indoors

Preferences: Check ALL that apply:

Male Female Don't Care Not Sure

Blue Merle Red Merle Black Tri Red Tri Don't Care Not Sure

Show/Breed Quality Pet Quality Don't Care Not Sure

Do you plan to breed?

Yes No

Would you consider showing or breeding if you had a mentor?

Yes No

Please add any other comments or details that you think will help us in assisting you in choosing a puppy: