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.

Please email the info to: Teresa Caldwell cavalier@swva.net

Due to issues with spam please be sure to include "Cavalier Aussies Questionaire" in subject line or it may be deleted

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 ___________________________________________

 

 

Home Our History Our Boys Our Ladies Bred By Available News Links Contact Us