Interested Breeder Form

Interested Breeder Form

Get featured on Pawrade.com. Apply below!
Tell Us About Yourself
Name*

First NameLast Name
What is your kennel name (if applicable)?
What's your mobile phone number?*
Please enter a valid phone number.
What's your kennel's phone number?
Please enter a valid phone number.
Email*
example@example.com
Date of Birth

MonthDayYear
Date
Last 4 Digits of SSN
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Address(if different from your mailing address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your kennel have a Web site? If so, what is it?
What is your preferred method of communication?*
Are you able and willing to host a Zoom meeting with potential buyers?*

YesNo
Tell Us About Your Pups
What breeds do you raise?*
How long have you been breeding?*
How many breeding females do you have on your property?*
Are you USDA certified?*

YesNoI am exempt
Is your vet USDA certified?*

YesNo
Do you do any genetic testing?*

YesNo
Do you administer your own vaccinations?*

YesNo
Are your puppies registered?*

YesNo
If they are, with which registry?
Are your puppies microchipped?*

YesNo
Do you offer an extended health guarantee (that exceeds our Signature Health Guarantee)?*

YesNo
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Thank you for your interest in joining Pawrade!

An Onboarding Specialist will be in touch to complete your account soon!
Should be Empty:

Interested Breeder Form

Tell Us About Yourself

Tell Us About Your Pups