Misty Mountain Labradoodles Australia

Name

Email

Phone

House number and Street

Postal Code

Suburb

Free Text

Are you looking for a puppy to become an Assistance Dog or a Therapy Dog?

Assistance Dog

Therapy Dog

Are you enquiring for you or on behalf of somebody else?

For myself

Someone else

Do you have mobility issues?

Yes

No

If you are seeking an Assistance Dog, please give some details of your condition and describe the assistance that you require your dog to provide.

Has your request been recommended or supported by a healthcare professional or support organisation? If so, please provide details.

Do you have access to sufficient funding, whether that be self-funded or support from NDIS or other source?

Have you engaged with a trainer and spoken to them in depth about the training that will be required?

Ye

No

If yes, please tell us the trainer that you have contacted.

Have you had any discussions with an organisation / trainer that will be able to take your dog through the Public Access Test to be eligible for a Public Access Jacket? If yes, who was that please?

Do you currently have any pets at home? If so, please list them.

Have you owned a dog before?

Yes

No

Have you had a puppy before, if so how long has it been?

Do you have a steady income and can afford upkeep of the dog including a premium dog food, grooming costs and vet costs. Will you consider taking out pet insurance when the puppy is 8 weeks old?

How would you describe the energy levels in your home? There is no wrong answer, please be as open as you can so we can place the right temperament puppy in the right home environment.

Low, we have a very quiet home

Medium, generally reasonably quiet

High, there is lots going on most days

Very high, lots of noise and action

Do you commit to providing your puppy with a varied range of safe social experiences (being aware that it should not be exposed to public places until having had its 2nd vaccination)

Yes

No

Do you have a secure fenced yard?

Yes

No

Do you understand your Labradoodle will require regular exercise? (Preferably two walks per day)

Yes

No

Do you work outside of your home? If so, how many hours per week?

Will the puppy be left for long periods of time?

Yes

No

If you are unable to continue to care for your Labradoodle do you agree to allow us to assist you to re-home your dog?

Yes

No

Are you prepared to take your labradoodle to a professional groomer every 10-12 weeks and brush your labradoodle daily?

Yes

No

Do you understand that once a deposit is paid, if you decide you are no longer interested in a puppy, then the deposit is non refundable?

Yes

No

Have you read the important information on our website before applying for a puppy?

Anything else?

Support Dog - Expression of Interest Form

Expression of interest

Misty Mountain

Labradoodles