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Breeder Application
Thank you for your interest in partnering with 4Gold Service and Rescue to provide service dogs for members of our community with special medical or ability needs. Please tell us about your breeding program.
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* Indicates required question
Email
*
Your email
Kennel Name
Your answer
Owner Name
*
Your answer
Location (City, State)
*
Your answer
E-Mail Address
*
Your answer
Phone Number
*
Your answer
Breed(s)
*
Your answer
How many years of breeding experience?
*
Your answer
Do you have a kennel license from AKC or USDA? (This is not required to participate in our program).
Yes
No
Clear selection
How many litters do you whelp per year?
*
Your answer
What health testing is done on your dogs?
*
Genetic panel
OFA - hips
OFA - elbows
OFA - eyes
OFA - heart
Other:
What health measures do puppies get while in your care?
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Up-to-date vaccinations for their age (i.e. 6,9,12 weeks)
Dew claws removed
Tails docked (if this is standard for the breed)
Vet health check
Worming
Other:
Are you prepared to provide proof of health tests if selected to partner with our program?
*
Yes
No
Do you provide early stimulation and learning protocols for puppies?
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Yes
No
If yes, please provide the name of the program and a few key elements of what is done during the first 8 weeks.
Your answer
What do you have in mind as far as providing puppies for our program?
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Donating puppies if/when there are unclaimed pups in a litter
Donating a set number of pups per year
Selling pups at a discounted rate to 4Gold
Selling pups at full price to 4Gold
Some combination of the above
Other:
For litters that are AKC registered, 4Gold requires breeders to provide Limited AKC registration on puppies so that recipients can earn service and obedience titles on their service dogs. Are you willing to provide such registration to recipients?
*
Yes
No
Are you willing to participate in 4Gold events such as Awards Ceremonies or Outreach events?
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Yes
No
Maybe
4Gold will provide recognition for your kennel on our websites and any printed materials where our donors are listed. Are you willing to cross-post our organization and events on your websites as well?
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Yes
No
Maybe
Do you prefer one blanket contract, reviewed annually, to cover all transactions, or would you prefer a separate contract for each individual puppy that 4Gold procures?
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Blanket Contract
Individual Contracts
Other:
Please share any other comments or ideas about how you would like to help support 4Gold Service and Rescue.
Your answer
Thank you!
Once again, thank you for your interest in partnering with our organization. We look forward to further discussing your application.
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