K9FW (PV) - Puppy Donation Application

K9FW (PV) - Puppy Donation Application

Date*

First Name*

Last Name*

Address*

State*

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Zip Code*

Phone Number*

Email Address*

What type of breeder are you?*

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How many litters do you have per year?*

Do you sell to pet stores?*

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How are your puppies housed?*

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Do you do any Early Neurological Stimulation with your puppies?*

Puppy Information

Breed*

Gender*

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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.

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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?*

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Do you have the pedigree available?*

Choose all that apply

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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.

Drag and drop files here or

Send me a copy of my responses