Kennel Name

Dog Breed(s)

Province | State | Country *

Website Address

Email Address

1. Are you a member in good standing with any breed and/or dog clubs? 1. Are you a member in good standing with any breed and/or dog clubs? Yes No

If so, please list them. (Full names please - not just acronyms)

2. Do you abide by the club(s) Code of Ethics? 2. Do you abide by the club(s) Code of Ethics? Yes No

3. Do you carefully select your breeding stock to meet the appearance, structure, soundness, temperament, personality, and natural abilities characterized in the standard for the breed? 3. Do you carefully select your breeding stock to meet the appearance, structure, soundness, temperament, personality, and natural abilities characterized in the standard for the breed? Yes No

4. Are all of your dogs registered with the Canadian Kennel Club, American Kennel Club, or other Registries? 4. Are all of your dogs registered with the Canadian Kennel Club, American Kennel Club, or other Registries? Yes No

(If other, please list the registry name(s) in full.)

If your breed is a recognized Canadian Kennel Club or American Kennel Club breed and you do not register with the CKC or AKC, for what reason do you choose to use a different registry?

5. Does all of your breeding stock undergo regular testing for health and genetic problems as recommended or encouraged by the breed clubs and/or registries for your particular breed(s)? 5. Does all of your breeding stock undergo regular testing for health and genetic problems as recommended or encouraged by the breed clubs and/or registries for your particular breed(s)? Yes No

Please include the testing/certifications, ie: OFA, CERF, etc.

6. Are you active and/or involved at any level of competition and/or dog sport and/or working dog with your dogs? 6. Are you active and/or involved at any level of competition and/or dog sport and/or working dog with your dogs? Yes No

Please specify

7. Are all your pups sold with written health guarantees against hereditary health problems? 7. Are all your pups sold with written health guarantees against hereditary health problems? Yes No

For how long?

8. Are all your pups sold with registration papers? 8. Are all your pups sold with registration papers? Yes No

9. Do you sell your puppies on non-breeding contracts unless they are sold to competition homes and/or as breeding stock? 9. Do you sell your puppies on non-breeding contracts unless they are sold to competition homes and/or as breeding stock? Yes No

10. Do you ever, or have you ever in the past, sold your dogs/puppies to pet stores, retailers and/or brokers? 10. Do you ever, or have you ever in the past, sold your dogs/puppies to pet stores, retailers and/or brokers? Yes No

11. Have you ever been subjected to disciplinary action, fines, etc., by any dog club, criminal or civil court? 11. Have you ever been subjected to disciplinary action, fines, etc., by any dog club, criminal or civil court? Yes No

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