Mountain Cur Application

Lost Forty Kennels

OMCBA Mountain Cur Application
Before completing this application, please contact us with any questions or concerns at LostFortyKennels@gmail.com

You MUST be 18 or older to submit this application!
Contact Information
Name *

First Name Last Name
Email *
example@example.com
Cell Phone *

Area Code Phone Number
Home / Work Phone

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State

Zip Code
Instagram Username
Facebook Name

Mountain Cur Ownership
Have you owned a Mountain Cur before? *

Yes No
If YES, what is your experience with Mountain Curs?
If NO, what is your interest in the Mountain Cur breed?
For what purpose(s) are you wanting a Mountain Cur? *

Companion Competition Hunts Squirrel Hunting Breeding Coon Hunting
Will the puppy/dog live indoors or outside? If outside, do you have adequate shelter? Please describe: *

Ownership Commitment
If the puppy/dog ever becomes too much to handle, or if you feel that you must rehome him/her, do you agree to contact us to assist in finding the puppy a new home? *

Yes No
Are you committed to providing a proper home for the puppy well into it's golden years? (The average life span of a Mountain Cur: 10-13 years) Consider your own age, health, lifestyle, and financial stability. *

Yes No

What to Expect
Completing this form is the 1st step in the process of adopting a Mountain Cur from Lost Forty Kennels. However, it does not guarantee a puppy as we reserve the right to refuse placement to anyone for any reason.

We will reach out to you via email within 2 business days of receipt of your application if you are approved & we'll add you to our Wait List.

For more details, please review our website www.LostFortyKennels.com or contact us with any questions at LostFortyKennels@gmail.com
How did you hear about us? If you were referred, please share their name.
Please provide any other relevant information you feel will assist us in placing a puppy in your home:
Your E-Signature: By typing your full name below, you acknowledge that you have read & understand each item in this application and agree to adhere to any answers provide & that all information included is accurate & true. *
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

Lost Forty Kennels