Puppy or Dog Request Form:
Please print off this page, read it thoroughly and mail it to me. Thank you!
Mail to:
Pam Martin – River Runs Australian Shepherd Kennel
173 Ream Road, Winter Haven, FL 31280
NAME: | |||||||
ADDRESS: | |||||||
CITY: | STATE / ZIP: | ||||||
HOME PHONE: | CELL PHONE: | ||||||
EMAIL: | |||||||
Have you or your family ever owned an Aussie before? If no, are you aware of the exercise, grooming and training requirements of this breed? | YES | NO | |||||
Do you or your family currently own an Aussie? | YES | NO | |||||
What facilities do you have for your new Aussie? | KENNEL | FENCED YARD | OTHER: | ||||
Are you prepared to commit to a minimum of basic obedience training under the supervision of a professional? | YES | NO | |||||
If you have other dogs, briefly tell us about them (breed, sex, age and whether spayed/neutered)? | |||||||
If you have children, what are their ages? | |||||||
If you own a dog or other pet/s, below, please give the name, address, and phone number of your veterinarian so that we may contact them for a reference. |
VET INFORMATION: |
Name |
Address |
City |
State/Zip |
Phone ( ) |
Check Preference (please check your 1st and 2nd preference)
COLOR: | |||||||
RED MERLE | BLUE MERLE | RED TRI | BLACK TRI | RED BI | BLACK BI | NO PREF. | |
SEX | MALE | FEMALE | NO PREF. | EYE COLOR PREFERENCE |
1 BLUE EYE | 2 BLUE EYES | NO PREF. |
What areas of interest would you like to pursue with your Aussie? (check all that apply)
WORKING | STOCK | OBEDIENCE | CONFORMATION | AGILITY | 4-H PROJECT | WATCH DOG |
TRICK DOG |
COMPANION |
BREEDING | OTHER | |||||||
In your own words, what are your plans for this puppy or dog? | |
List any information you think will be helpful to me in helping to choose the right puppy or dog for you and your family: | |
Mail to: Pam Martin – River Runs Australian Shepherd Kennel 563 Ream Road, Winter Haven, FL 33880 |
Email: [email protected]military flash light.info
Phone: 863-441-9671 |