Kent Pet Foods

* Required Fields
*First Name:	MI:	*Last Name:

Kennel Name:
*Address:

*City:     *State:   Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   *Zip Code:  

*E-mail Address: 
 
Personal Profile

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

Primary Breed:	NO. of Adults:	# of Breeding Females:
# of Puppies Born Per Year:	Breeder Club Member?:
	YesNo
Other Breeds:	NO. of Adults:	# of Breeding Females:
# 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 Dealer

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

*Please List dog or conservation organizations you belong to:  


*How did you hear about the Kent Kennel Club:
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.