iMBUKA Rhodesian Ridgebacks©: Puppy Question Form

If you are interested in a puppy from the breeding of CH Ukukhanya Neema Morgan, CGC and iMBUKA's Kulima Madison, JC. Complete the form below and submit it for review. Please be sure to include your phone number, contact information and a good time to call.

Name:
Phone number and the best time to call:
Email Address:
Address:
City, State and Zip:
Country:
Referred by:
Type of dwelling do you live in?	Apartment Single Family home Condo
Do you rent or own?	Rent Own
How many in household?
How long at this address?
Ages of Children:
Please list other pets you may have.
Do you have a fenced yard?	What type?
How did you learn of this breed?
Who will be the puppy's primary care giver?
Have you ever house trained a puppy before?
Where will the puppy be kept during day?
Where will the puppy be kept at night?
Are you interested in a Male or Female?	Male Female Either one
What color?	Liver nose Black nose Don't care
Interested in... ?	Conformation Potential Performance Potential
Are you interested in performance events?	Yes No Willing to learn
Which performance events? (Lure coursing, tracking, herding, obedience, etc.)
Have you ever earned a performance title?	Yes No
Are you interested in conformation?	Yes No Willing to learn
Have you ever shown a dog to it's championship?	Yes No Willing to learn
Please explain why we should place a ridgeback in your care.

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