Puppy Application | Rolling Hills

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Preferred method of contact

Phone Call

Text

Email

Color(s) preferred

Blue Merle

Red Merle

Red Tri

Black Tri

Sex of puppy preferred

Male

Female

No Preference

Tail type preferred

Tail docked

Tail intact

No preference

Which litter(s) are you interested in?

Willow x Kenai Litter : Born October 14th 2026 (Ready for new homes Dec. 9th)

Pepper x Kenai Litter: Planned December 2026 (estimated ready for new homes February 2027)

Bingo x Reggie/Kenai Litter: Planned January 2027 (estimated ready for new homes March 2027)

Are you interested in a specific puppy?

When are you hoping to add a puppy to your family?

Do you have time to commit to training a puppy?

Yes

No

Have you done any research on the Australian Shepherd breed, and know what to expect in regards to energy level?

Yes

No

What is your daily exercise plan for your new aussie pup?

What type of expectations do you have for your new Aussie? (running, hiking, family companion, traveling, etc.)

Have you owned a dog before, if so what breed(s)?

Do you have any other pets?

Do you have any children? If so, what are their ages?

Special request info, you want us to be aware of