Puppy Application





Contact Information:

Name
E-mail		Phone
Physical Address		City
State		Zip Code

     If you would be planning to ship your puppy, please list your nearest airports:
International:      Municipal:
(some airlines fly animals to municipal airports, some do not)

Have you ever owned an Australian Cattle Dog before?    Yes        No

If not, what made you decide to get an ACD

What type of pup are you looking for?       Male                     Female                     Either / undecided

Do you plan to spay or neuter your pup?       Yes, this will be a family companion, and we do not intend to breed this dog.       No, we intend to: (please check all that apply)             Show this dog in Conformation             Breed this dog

What activities do you plan on participating in with your dog?     This will be a family pet    Therapy Dog    Obedience     Conformation     Herding     Agility     Flyball         Other (list below):

Do you currently own any other dogs?          Yes                No      If yes, what type are they, how old are they, and how long have you had them?       If not, please tell us what has been your prior dog experience?       (ie....had dogs as a child, etc..)

Do you have, or plan to have children?            Yes             No      If yes, please list their ages:

Do you have a fenced yard or dog area?             Yes             No      If not, please tell us how you are set up to keep this dog      safely and securely contained:

Who is your veterinarian?

Please list any dog clubs you are a member of:

Please list two references with phone numbers:      Reference 1:

Reference 2:

Please let us know how you located us, referral, internet, etc.

If there are any further comments you would like to make, please do so here: