KCK9 Expression of Interest Form
Are you looking to give a puppy their forever home? If you would like to express your interest in for one of our puppies, please submit the application form.
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
What state do you live in?
*
How many people are in your household?
*
Do you have a preference on gender?
*
What is your price range?
*
Why would you like a puppy and what attracts you to this breed?
*
Have you owned a dog before / do you own any other pets?
*
Are you interested in a puppy in the next 3 months or being placed on the waitlist for future litters
*
What type of space do you live in?
*
Residential House
Apartment / Unit
Townhouse / Villa
Farm / Rural Property
Other
Do you have a preference on color/coat pattern? (please see photo below and list all that apply)
*
IF, you have been referred please list referrer below:
Rows
Full Name
Address
Contact Number
1
2
Submit
Should be Empty: