Stud Dog Application

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This application is for people who wish to use Voltaire as a stud dog. Voltaire is a purebred Great Pyrenees with both American Kennel Club and Continental Kennel Club registration. Please note that we require testing for canine brucellosis within the last six months and proof provided by a licensed veterinarian, along with up-to-date rabies certification. The fee for this mating is payable at conclusion of breeding and consists of $250. If no pregnancy results, a return service will be given to the same bitch on her next heat cycle, and to my male if available. Stud owner needs to be notified within one week after the puppies due date, if no pregnancy results, to be eligible for the free return service. One puppy whelped alive constitutes a litter. Request a stud contract for details.

Email *

Date of application: *

YYYY

Full Name: *

Phone Number: *

Email: *

Where are you located (city, state)? *

Do you have any other dogs at home? *

Yes

If yes, please explain what other breeds of dog you own:

Age(s) of other dogs:

Sex(es) of other dog(s):

Are the other dogs sprayed / neutered or still intact? Please explain.

Have any of your other dogs (if applicable) ever contracted a serious disease such as canine brucellosis, distemper, etc.? Please explain treatment administered and plans put in place to prevent the spread to other dogs. *

Please describe your experience with LGD breeds and/or Great Pyrenees: *

Do you have a veterinarian? *

Yes

Please list them here: *

Has your bitch been tested for canine brucellosis? Note that this is required testing and proof from a licensed veterinarian must be given before breeding can take place. *

Yes

Please state the last date of rabies vaccination. Include whether the vaccine was 1 year or 3 year. We will require proof before breeding. *

If your bitch has not been tested for canine brucellosis when do you plan on getting her tested? *

Date of bitch's last heat cycle. *

YYYY

Approximately when do you expect your bitch to go into heat? *

On your honor, have you ever been accused or convicted of animal abuse? *

Yes

Any additional information you would like to add:

Option 1

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By checking the box below and signing your name you understand and agree to us (Kathy Ann’s Farm) reviewing your application and deciding whether or not your bitch will make a good fit to breed with Voltaire. You are agreeing that you have been truthful and filled out this application to the best of your ability and that you have not abused any animals in the past and will not abuse any in the future. You understand and agree that we have the right to refuse any person for any reason. *

I understand and agree to the terms stated in this application

Please write your name and today's date to confirm you understand the terms stated in this application. *

Send me a copy of my responses.

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