Breeding Rights Application

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First name

Last name

Address

Email

Phone

Preferred gender:

Preferred color/marking:

Other preferences

Do you intend on breeding this puppy?

Yes

No

What is your experience with breeding? Please be honest and give details.

How many litters do you plan to have with said dog?

What is your breeding programs goals? ( Pet quality, working dogs, ect.):

Are you committed to health and genetic testing?

Yes

No

Do you have a regular veterinarian?

Yes

No

Are you willing to provide two references who are familiar with your breeding program?

Yes

No

Please provide any additional information that you feel is relevant to your application:

I hereby certify that the information provided in this application is accurate and true. I understand that providing false information may result in the rejection of my application.

Signature

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If your serious about one of our puppies, please submit an application.

Add me to the waitlist!

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