Questionaire

 

If you would like to inquire about any of our dogs, puppies, or litters please fill out the following form.

We realize that this may be time consuming, but do appreciate you taking the time to do it. This form allows us to understand exactly what you are looking for, and a method in which to have your information on file.

If you have problems with the form please email the info to: Teresa Caldwell cavalier@swva.net

Name (required)                    
Kennel Name (if applicable)

Address (required)                      
City State/Province               
Postal Code Country            

E-mail Address (required)       
Web Site (if applicable)         

Home Number (required)       
Work Number (if applicable)
Other Number (if applicable

Children at home? No Yes - Ages:

Are you over 18? Yes No
If no, please include your parent's name:

Do you live in a: House Apartment

Do you have a fenced in yard? Yes No
If yes, what type of fence ?

Where will the dog live? Indoors Outdoors Both

DOG INFO

Specific dog you are interested in: No Yes
If yes -dogs name?

Dog is considered for what purpose: (choose all that apply)
Companion   
Conformation
Breeding       
Obedience    
Agility           
Herding        
Other           

Have a previously trained a dog? No Yes
If yes, in what areas?

Dogs previously owned & why no longer owned: (required)
Please include names, ages, breed and other info.

Number of dogs currently owned of all breeds: (required)

Dogs owned currently: (required)
Please include names, ages, breed and other info.

Briefly tell us what your goals are for this particular dog,
and why you are interested in an Australian Shepherd in general.

Other info or comments you would like to share with us:

References (Name and Phone or e-mail [preferred]) : (required)
Vet    
Other
Other
Other

 

 

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