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Date picker

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

What type of breeder are you?

How many litters do you have per year?

Do you sell to pet stores?

Yes

How are your puppies housed?

In the home

In a kennel environment

Do you do any Early Neurological Stimulation with your puppies?

Early Neurological Stimulation (ENS), also known as the "Super Dog Program," involvescontrolled exposure of young puppies to mild stressors to potentially improve their neurological development and stress response later in life.This technique is thought to enhance the immune, cardiovascular, and adrenal systems, and increase disease resistance according to Revival Animal Health.

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?

Yes

Do you have the pedigree available?

Puppy

Sire

Dame

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.

Donate a Puppy

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Puppy Information

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