Rebel Soul Farm

If you are interested in one of our puppies, please fill out the application bellow and email your answers to

Puppy Application

Puppy Application



City, State, Zip

Phone Numbers

Email address

If you currently do not own any dogs, tell me about your past exposure to dogs and dog ownership?

Have you ever owned a dog before? (Yes or No)

If yes, what dog breeds have you owned?

Do you still own the dogs? If not, what happened to the dogs?

Do you currently own any other non-canine animals? If Yes, please list them.

Have you ever owned a Mini American or and Australian Shepherd?

What made you decide to purchase an Mini?

Do you prefer a male or a female? Why?

Would you consider a puppy of another color or sex if your preferences are not available?

How soon are you looking to get a puppy?

What activity level are you comfortable with in a dog?

Do you intend to compete with your dog?

Do you plan to participate on any of the following activities with your Mini?

All of our puppies are sold on AKC Limited Registration and spay/neuter agreements. Is this a problem?

How many adults live in your home?

How many children live in your home and what are their ages?

Is anyone in the home allergic to dogs? If yes, please explain how the allergy will be controlled.

Are all the members of the household comfortable around the presence of a puppy that could nip, jump and chew during its training stages?

What are your plans for housing, training, and exercising your puppy?

Are you comfortable with a breed that sheds moderately?

Have you spoken with any other breeders? If Yes, please list them:

Are you currently on the waiting list for any other litters?

Are you interested in being contacted about Rescue dogs or older dogs needing placement if we should come across a dog that we feel would suit your needs?

Do you own or rent your home?

Type of dwelling:

If you are renting or live in a condo, do you have your landlord’s or condo association’s permission to keep a dog? (Yes or No)

Do you have a fenced yard? If yes, type of fence, width, weight:

If no, what arrangements will you have for the dogs toilet duties:

Where will this dog spend the day ?

How many hours on the average will the dog spend alone?

Where will dog spend the night?

Have you ever given up a dog to a shelter or pound? If so, why?

What type of personality are you looking for in your dog?

Who will take care of your puppy when you go on vacation?

Please list two references such as a Veterinarian, person active in dogs or close acquaintance. Include a phone number and e-mail address if possible for each reference.

If you are established with a vet, please provide name, address and phone of vet.

How did you find out about us?

Have you ever place a dog in a shelter?

Have you ever had to put down a dog? If so, why?