K9FW (PV) - Puppy Donation Application

Date

mm/dd/yyyy

First Name

Last Name

Address

City

State

Zip Code

Phone Number

Email Address

What type of breeder are you?

How many litters do you have per year?

Do you sell to pet stores?

How are your puppies housed?

Do you do any Early Neurological Stimulation with your puppies?

Puppy Information

Breed

Gender

Birthdate

If the litter is being planned, please indicate 'Not born yet'

Have the parents had their hips tested?

If yes, please attach the review records to this form.

Have the parents had any other testing done? Please list.

What is the height of the Dam?

Height is from the ground to the top of the shoulder

What is the weight of the Dam?

What is the height of the Sire?

Height is from the ground to the top of the shoulder

What is the weight of the Sire?

Are the Dam and Sire up to date on vaccines?

Do you have the pedigree available?

Choose all that apply

Is there any other information you would like us to know about your puppy or their parents?

Pictures of the Sire, Dam, and Puppy(s)

If you have any paperwork you want to add you can upload it here as well.

Drop your files here

Send me a copy of my responses