Northbay Australian Shepherds

First Name:

Last Name:

Email Address:

Phone Number:

Is this your first Dog?

Yes
No

Is this your first Aussie?

Yes
No

Do you own any other pets?

Yes
No

Please list what kind and how many.

Why is this the right breed for you? Please Explain.

Do you have a color preference?

Blue Merle
Red Merle
Red
Black

Are you open to another color, if a pup is not available in your desired color?

What gender are you interested in?

Male
Female
Either

What do you plan to do with this dog?

Agility
Obedience
Comformation
Rally
Freestyle Obedience
Herding
4-H
Junior Showmanship
Family Pet
Other

Have you been in contact with any other Australian Shepherd breeders? If yes, please list their names and kennels.

Will you use a crate to house your dog?

Yes
No

Will you be attending training classes with this dog?

Yes
No
Maybe

Do you have a fenced in yard?
What kind?

Where will the dog be when you're not home?

How will the dog be exercised?

How often?

Can you provide all veterinary care?

Yes
No

Do you breed Aussies?

Are you a memer in good standing with ASCA or AKC?

Do you have Website?

Can you provide references?

If so, please list below. If not please explain.

List your reference's contact info here:

Please tell us about yourself and family:

Is there anything else you would like us to know?

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