Stud Service Request

Name*

First NameLast Name

Email*

Phone Number*

Format: (000) 000-0000.

Zip Code*

How did you hear about us?*

Please list your Website/Facebook/Instagram. *

Our studs have restrictions. You may hold back (1) FEMALE for your program (NO MALES), and the remaining puppies must be sold on a no breeding, mandatory spay/neuter contract. Do you agree to these restrictions?*

What is your dam's name? *

How old is your dam?*

What breed is your dam? *

Has your dam been bred before?*

YesYes, but she did not conceiveNo

If so, how has she been bred in the past?*

When is your dam expected to come into heat? If she is currently in heat, please tell me the date when she first start bleeding.*

What type of service do you need?*

If a natural breeding is requested, we require a negative brucellosis test from a licensed vet before the natural breeding takes place. The brucellosis test must have been within the last 15 days.*

I agree

What health testing does your dam currently have (DNA, OFA, PennHIP)? Please be specific.*

In order to reserve a spot on our stud's calendar, we require a $100 reservation fee. The reservation fee is nonrefundable, however it will go towards the stud fee total. We make certain our studs are never overused and are always available when we have a commitment.*

I understand

Please list any questions/comments you may have.*

Signature*