First Name *

Last Name *

Street Address *

City *

State/Province/Region *

Zip *

Country *

Home Phone

Mobile Phone *

Email Address *

Occupation

Do you have a preference of gender of your puppy? (Choose one) * Do you have a preference of gender of your puppy? (Choose one) * Male Female No Preference

Coat Type Coat TypeTight Curls (Hardest to maintain, Minimal Shedding)Wavy (Relatively easy to maintain as it doesn't matt as easily, Minimal sheddingStraight (Easiest to maintain minimal matting, sheds but less than a purebred))No Preference

Please choose the color you prefer. (choose one) * Please choose the color you prefer. (choose one) * Blue Merle (speckled pattern with or without white blaze and collar)) Red / Chocolate Merle (speckled Pattern with or without a white blaze and collar)) Black Phantom Tri (solid base coat of black with copper eyebrows and other copper & white accents on legs) Red / Chocolate Phantom Tri (solid base coat of red with copper eyebrows and legs) Blue Merle Parti ( White body with blue merle splotches) Red or Chocolate Merle Parti (white body with red merle splotches) Sable a mixture of Black & Brown coat with black tips on the coat Cream Black & White or Red & White Tuxedo Solid Black, or Chocolate brown no preference

What generation are you looking for? What generation are you looking for? F1 50% Poodle & 50% Australian Shepherd F2B 62% Poodle & 38% Australian Shepherd Multigen Australian Mountain Doodle 50% Poodle & 25% Australian Shepherd, & 25% Bernese F1B 75% Poodle & 25% Australian Shepehrd Micro / Toy Aussiedoodle 15-25lbs No Preference

Please choose what size you are interested in. (choose one) * Please choose what size you are interested in. (choose one) *Standard Aussiedoodle or Australian Mountain Doodle(45-65#)Mini Aussiedoodle or Australian Mountain Doodle (25-40))Toy / Micro Aussiedoodle or Australian Mountain Doodle (10-25#)

Are you willing to take your puppy to annual veterinarian exams? Are you willing to take your puppy to annual veterinarian exams? Yes No

How many hours of the day will you be able to spend with your puppy? *

Will your puppy live with children? * Will your puppy live with children? * Occasionally Yes No

Does anyone in your family have allergies? If yes, please explain. *

What type of dog are you looking for? What type of dog are you looking for? Companion Breeding Breeding & Companion Task service animal Emotional Support Animal

Do you have a fenced yard or access to a nearby park for exercise? * Do you have a fenced yard or access to a nearby park for exercise? * Yes No

Will you sterilize (spay/neuter) your dog being sold as a pet?? * Will you sterilize (spay/neuter) your dog being sold as a pet?? * Yes No

I understand that puppies are susceptible to deadly diseases to Parvo & Distemper until they have received a full series of puppy vaccines. * I understand that puppies are susceptible to deadly diseases to Parvo & Distemper until they have received a full series of puppy vaccines. * I understand please teach me more

I understand that keeping puppies quarantined away from other dogs and traveling to high traffic dog areas is not recommended until they have received all the recommended puppy vaccines. * I understand that keeping puppies quarantined away from other dogs and traveling to high traffic dog areas is not recommended until they have received all the recommended puppy vaccines. * I understand please teach me more

Soutern Aussiedoodles uses a comprehensive prevention worming program that is partnered with regular fecal checks. Even with this worming program it’s common for puppies to have a parasitic bloom when puppies have environment changes during their transition home due to stress suppressing their immature immune systems. I understand that this is common and I am willing to treat my puppy if a parasitic bloom occurs. Soutern Aussiedoodles uses a comprehensive prevention worming program that is partnered with regular fecal checks. Even with this worming program it’s common for puppies to have a parasitic bloom when puppies have environment changes during their transition home due to stress suppressing their immature immune systems. I understand that this is common and I am willing to treat my puppy if a parasitic bloom occurs. I fully understand

Initials

I will fully comply with Southern Aussiedoodle's quarantine policies and understand that we do not allow anyone but our staff and veterinarian into our nursery and training facility. We will allow one scheduled appointment to meet puppies in our office and will follow strict biosecurity protocols as established by our veterinarian. Our protocols are designed to minimize the risk of exposure to deadly diseases like Parvo and Distemper to our puppies and facilities. However, due to the strict guidelines we follow, we do post weekly pictures on the website and regularly post on social media. I will fully comply with Southern Aussiedoodle's quarantine policies and understand that we do not allow anyone but our staff and veterinarian into our nursery and training facility. We will allow one scheduled appointment to meet puppies in our office and will follow strict biosecurity protocols as established by our veterinarian. Our protocols are designed to minimize the risk of exposure to deadly diseases like Parvo and Distemper to our puppies and facilities. However, due to the strict guidelines we follow, we do post weekly pictures on the website and regularly post on social media. I fully understand

Initials

Are you interested in our optional Puppy Pre-K Program or our optional Puppy Kindergarten Program? In these training programs, puppies stay for an additional 2 weeks for each level of training. In Puppy Pre-K Puppies are crate trained, taught to walk on a leash and learn basic commands. In Puppy Kindergarten, puppies continue crate training, finessing their skills on a leash, and learn more commands, how to kennel up, wait and settle as well as working on grooming manners, pack socialization and recall. Cost is $500 for each 2 week program. We also offer an optional 1 month Potty training program for $2500. Benefits include: Socialization with siblings that reduces the biting stage, Weekly fecals, worming and additional rounds of shots required for the age of the puppy. We will also post video and picture updates during training. * Are you interested in our optional Puppy Pre-K Program or our optional Puppy Kindergarten Program? In these training programs, puppies stay for an additional 2 weeks for each level of training. In Puppy Pre-K Puppies are crate trained, taught to walk on a leash and learn basic commands. In Puppy Kindergarten, puppies continue crate training, finessing their skills on a leash, and learn more commands, how to kennel up, wait and settle as well as working on grooming manners, pack socialization and recall. Cost is $500 for each 2 week program. We also offer an optional 1 month Potty training program for $2500. Benefits include: Socialization with siblings that reduces the biting stage, Weekly fecals, worming and additional rounds of shots required for the age of the puppy. We will also post video and picture updates during training. * I want to sign my puppy up I am unsure Please tell me more

We offer delivery for our puppies both by air and ground with a Puppy Nanny. Will you need this service? We offer delivery for our puppies both by air and ground with a Puppy Nanny. Will you need this service? I will pick up in-person I want a quote for a puppy nanny

If quote for delivery is needed, what is your nearest international airport(s) for a flight nanny?

If you have a dog currently or have had one in the past please tell us about them. Do they have any behavioral problems, social issues and what training method do you use? *

Where did you find out about Southern Aussiedoodles? (Google, Word of Mouth, Instagram, Tick Tok, FB or referral)

Why are you considering an Aussiedoodle or an Australian Mountain Doodle? *

I understand that the nonrefundable retainer to reserve a specific puppy or to get on our waitlist (this rolls forward until you pick a specific puppy at which time it applies toward the cost of the puppy with the remaining balance due at pick up) is $500.00 + $42.25 sales tax totaling $541.25 which is applied to the balance of the puppy with the remaining balance due at pick up* I understand that the nonrefundable retainer to reserve a specific puppy or to get on our waitlist (this rolls forward until you pick a specific puppy at which time it applies toward the cost of the puppy with the remaining balance due at pick up) is $500.00 + $42.25 sales tax totaling $541.25 which is applied to the balance of the puppy with the remaining balance due at pick up* Yes No

Is there anything else you would like us to consider or know about you? *

Is there a specific puppy that you are applying for? *

Is there a specific litter selection list you would like to apply for? *

Where are you in your adoption process? * Where are you in your adoption process? * I have more questions. Please schedule a phone call. I am ready to place a nonrefundable retainer. Please send a retainer link. I am ready to place a nonrefundable but transferable retainer for one of our future litters. This will hold your picking order on the waitlist for a puppy in the future. Please send a link for a retainer for your waitlist by size

By submitting my application I understand that an Angela or Scott Tilley will be contacting me either by email or phone. I have filled this application out to the best of my ability. * By submitting my application I understand that an Angela or Scott Tilley will be contacting me either by email or phone. I have filled this application out to the best of my ability. * I understand