Hillcrest Border Collies - Puppy Inquiry Form

Name:

Email:

Email again:

Street Address:

City:

State:

Zip:

Country:

Phone:

Interested In:
Agility
Flyball
Herding
Hiking
Jogging
Obedience

Trained by:
In a class, and/or with a trainer
Self

Plan on breeding:
yes
no

Prior breeding experience:
yes
no

Have Children:
yes
no

If yes, how many live at home:

List other pets or livestock owned:

Do neighbors own livestock:
yes
no

Where will dog sleep:
Both Indoors/Outdoors
Indoors only
Outdoors only

Hours per day dog will be alone:

Reason why you want a BC:

Reference #1 Name (Trainer):

Trainer email:

Trainer phone:

Trainer's website:

Reference #2 name:

Reference #2 relationship:

Reference #2 email:

Reference #2 phone:

Reference #3 name:

Reference #3 relationship:

Reference #3 email:

Reference #3 phone:

Please type the text below: