Runchkin Hill Farm and Kennel LLC Puppy Application

Name*

First NameLast Name

Complete Address (Street, City, State, Zip)*

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Gender Preference*

MaleFemaleN/A

Favorite Male

Favorite Female

What are you looking for in a German Shepherd, Dutch Shepherd, or Malinois? (Service, Companion, etc)*

Describe what type of temperament you would like in a Dog (calm, mid drive, high drive, protection, etc.)*

Please tell us a little about your family (Kids vs Adults), current pets, past dogs (especially German Shepherds, if any). *

Do you have a fenced yard or other way to keep your dog safely contained? Please tell us a little about your home (Rented or owned).*

At what age do you wish to get the puppy? (ex; 8 weeks; 6 months; retired breeding dog)*

When was the last time that you raised a puppy?*

Where do you plan to keep this dog at night, and/or when you're not at home?*

Do you have children in your home? What are their ages?*

Please provide us with a reference and your vet's information.*

How did you find us?

I am aware that Runchkin Hill Puppies requires a non- refundable $500 deposit to reverse your spot on our waiting list (Type YES)*

My Products

Product Name https://venmo.com/u/runchkin

$ Free

Total

$0.00

I understand that there is no guarantee of gender produced, but I retain the option to pass and wait for the next available puppy of my preferred gender. (Type YES)*

Thank you for taking the time to fill out our Puppy Application! If you have any questions, please feel to ask here!

Payment Methods

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.