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Rush Hill Puppy Application

Rush Hill Application Form

Owner Contact Information

Primary Owner

Occupation

Email

Phone (Cell)

Phone (Work)

Primary Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing Address (if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Family Information

What is the size of your family? (Names and ages of any children.)

Does anyone in your household have asthma or allergies to animals?

If yes please, explain how you are planning on managing these allergies.

Do You live in:

Subdivision

Townhouse

Condo

Apartment

House with Property

Other

Do You:

Own

Rent

Live with Family

Other

Do you have a fenced yard?

Yes

No

If yes, describe:

Puppy Information

What breed are you interested in?(Required)

What is the purpose of your interest in a Puppy?

Conformation

Agility

Obedience

Hunting

Companion

Other

Is the entire family in agreement with purchasing this new puppy?

Do you currently own any other pets?

Please include the species, breed, age, altered and sex, living or deceased.

Have you raised a puppy in the past?

Where will your puppy live?

Inside

Outside

Combination of Both

Other

Is anyone home during the day?

On the average how many hours a day will the puppy be left alone?

Where will your puppy sleep at night ?

Do you have a preference in gender?

Do you plan on attending an obedience class?

Do you plan on breeding your pet?

Do you plan to spay or neuter your pet?

What is the activity level in your home?

What are your hobbies and will your puppy be included in activities?

Have you completed any AKC titles on other dogs?

If yes, please describe:

Do you have any questions to ask me as a breeder?

Veterinarian Information

Do you have a veterinarian you currently work with?

Name

First Last

Clinic Name

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference #1s Full Name

First Last

(a personal reference is preferred but not required)

Phone

Email

Acknowledgement

I agree.

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I certify that the above information is correct, and I understand that the information will be verified. I agree that the owners of Rush Hill Kennel can contact my references and do any necessary checks that will approve my application.

Date

MM slash DD slash YYYY

Email

Additional comments or questions for Rush Hill.

© Rush Hill

Arlington, Washington

tonya.struble@gmail.com

Our Goldens
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What’s New
Puppies
Our Story
Contact

Our Goldens
Our PBGVs
What’s New
Puppies
Our Story
Contact

Search For:

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