Your Name:

Postal address:

City:

State/Province:

Postal code:

Country:

Email address:

Telephone:

Fax:

Have you considered adopting a rescue?   Yes   No

Check out our ACD Rescue page for more information

Have you ever owned an Australian Cattle Dog (ACD) before?   Yes   No

What made you decide to get an ACD?

Do you prefer male or female?   Male   Female

Is there a particular reason for your preference?

Do you plan to participate in any of the following with your dog?
Working dog   Agility   Obedience  Flyball
Conformation showing   Breeding  This dog will be a family pet  
Other    

If you are not planning on showing or breeding your ACD are you prepared to desex him or her?   Yes   No

Do you currently own any other dogs?   Yes   No

If 'yes' please list the breed and sex of each:

If 'no' please tell us what has been your prior contact with dogs:

eg. Owned one before, parents showed dogs, friend has dogs, etc.

Please list ages of children in the household:

Do you have a fenced yard?   Yes   No

If 'no' how do you plan to keep your dog confined?

Please list at least two references, these can be anyone who knows you and your animals well - your vet, your obedience instructor or even a friend or relative. Please include their name, telephone number, email address if applicable and their relationship to you.
Reference 1:

Reference 2:

If you wish to make any other comments please do so here: