Australian Cattle Dog
Puppy Application
Name
First Name
Last Name
Spouse Name (if applicable)
First Name
Last Name
Are you 18 years or older?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you own your house?
Yes
No
If you rent; are you able to provide proof of pet approval?
Yes
No
If you rent- are there any restrictions on pets? (Ex: size, breed, ect)
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Occupation(s)
Do you have children in your home? If so, what ages?
Do you have any room mates?
Is anybody in your household allergic to pets?
Does everybody in your household agree on adding a high energy, working dog to the household?
Yes
No
Did anybody refer you to our program? If so, who?
Do you have any other animals living in your house or on your property? (Species, ages, and time you’ve owned them)
Why would you like to own an Australian Cattle Dog? Do you have experience in with breed (have you done research?)?
Have you owned any type of herding breed before? If so, tell us about them.
What qualities are you looking for in a dog?
What qualities are you not looking for in a dog?
How would you describe your families energy level?
Very Active!
Moderate
Low
Couch Potato
What does a typical day in your life look like? What time would you be spending with your dog / pets?
How do you plan on containing your dog?
Leash
Fence
Electric Fence
Where will your dog be living?
Inside the house
Kennel building
Outside
How do you plan on house training / potty training the puppy?
Do you plan on breeding?
Yes
No
Undecided
Do you have a gender preference ?
Male ONLY
Female ONLY
Female but open to a male
Male but open to a female
Do you plan on spaying / neutering?
Yes
No
Do you have a specific breeding you are applying for? If so, which breeding?
What are your plans for a puppy? (Mark all that apply)
PSA
French Ring
IGP
WDA
Mondio
Police K9
Search and Rescue
Detection
Personal Protection Dog
Sport Nosework
Disc
Tricks
Dock Diving
Agility
Demo Dog
Herding
Other
If “other” - please describe
Do you have any clubs, mentors, or trainers you are currently working with or plan to work with?
Can you provide a vet reference?
Do we have permission to contact your vet?
Yes
No
Do you have any other information you’d like to provide?
Submit
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