Breeder Application - Life in the Uplands

Name

First

Last

Email

Phone Number

Business/ Kennel Name

Years in Business

State

Breed

dogs? 5 to

If other breed, please let us know

Are you selective about your buyers?

What health screening or genetic tests do you conduct on your breeding dogs?

How many litters do you have a year on average

Do you hunt or run your dog(s) in field trails?

Comments/ Short Description of your Kennel

I understand that that submitting this form does not guarantee that I will be listed on Life in the Uplands website. Life in the Uplands only lists 5 breeders per breed per state. Also, each breeder will have to meet Life in the Uplands "missions and standards" in order to be listed.

I understand