Kent Pet Foods

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First Name*:	MI:	Last Name*:	Suffix:

Kennel Name:		Telephone:( )  -
Address*:

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Personal Profile

How many and what breed of dogs do you care for?

Primary Breed:	Number of Adults:	Number of Breeding Females:
Number of Puppies Born per Year:	Breeder Club Member:
	YesNo
Other Breeds:	Number of Adults:	Number of Breeding Females:
Number of Puppies Born per Year:	Breeder Club Member:
	YesNo

What primary brand of dog food do you currently feed and recommend?

Puppies:
Adults:

Where do you usually purchase your dog food?:
SupermarketMass MerchantPet StoreDistributorFeed DealerVeterinarian

Which of these describes your dog involvement? (select all that apply):
HuntingHerdingTrainingShowSledding/PullingAgilityCompanionOther

Please list dog or conservation organizations you belong to:  

How did you hear about the Native Performance Breeder Program?:
AdvertisementBreeder ClubVeterinarianDistributorKent Sales RepKent WebsiteRetailerOther

Please note that the Native Performance Breeder Program is intended for individual breeders and enthusiasts, not institutional organizations, such as rescue groups, humane societies, or animal shelters.