Application for LnR Rig B's ACDs

We make every effort to match puppy temperments to prospective owners needs and lifestyle.
Your name?

Your address?

City? State zip

Your Email address?

Your phone? Your fax number?

How did you find us?
American Kennel Club
Australian Cattle Dog Club of America Inc.
Internet
     Which Site?
     Cattledog.com
     LnRRigB.com
     Tripod
     Wallaby Kennels

Referral
Please list who referred you.
Dog Show
Other

Do you currently own any other dogs or other animals? Yes      No

Past Dog Experience?
Why an Australian Cattle Dog?

Do you prefer male or female?   Male      Female

Do you have a color preference?   Blue      Red

Do you plan on participating on any of the following activities with your ACD?
Agility    Breeding    Conformation    Flyball    Herding   
Obedience    Serach and Rescue    Therapy    Tracking   
Other


If you are not planning on breeding or showing would you be willingto have your ACD spayed or neutered?Yes      No

Family data:
Married?    Yes      No
Occupation?  
Spouses' Occuption  
Do you have any children?   Yes      No
If yes, please fill in box.


Where will pup be during the day?  
Where will pup be during the night?


What are your plans for exercising your ACD?