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Name

Email

Do you have any children in your household?

Yes No

If applicable, how many children are in your household, and what are their ages?

Do you currently have any pets in your household? (select all that apply)

Nope Dog(s) Cat(s) Other Pets

If applicable, Tell us more about your pets.

Have you had other dogs in the past?

Yes No

If applicable, Tell us about your past dogs.

Tell us more about yourself.

What type of home do you live in?

House Apartment Townhouse Other

Will you be the primary caretaker of the puppy?

Yes No

If you are not, who will be the primary caretaker of the puppy?

Why did you choose a Australian Shepherd?

What gender do you prefer?

Any Gender Male Female

Do you have a color preference? If so which color?

What transportation options are you interested in? Select all that apply.

Pick up in MA - Visit the breeder in person to pick up in Plymouth County, MA. Pick up at breeder's airport - Meet the breeder at their local airport to pick up your puppy.

(774)992-8749
milkajacqueline@yahoo.com

Rochester, Massachusetts

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