Breeding Dog And Whelping Home Interest Form

Please complete the following form to express your interest in speaking with someone more about our breeding and whelping host homes.

Personal Information

Full Name

City and State

Email Address

Phone Number

Best way to contact you:

PhoneEmailText

Home Environment

Do you own or rent your home?

OwnRent

Do you have a fenced in yard?

YesNo

Are there children living in your home?

YesNo

Please list the child(ren)'s age(s)

Is someone home most of the day?

YesNo

Dog Information

Are you willing to have a breeding dog live in your home full-time as a family pet while participating in the breeding program?

YesNo

Do you currently have dogs or pets in the home?

YesNo

Are they dog friendly?

YesNo

Are they spayed or neutered?

YesNo

Do they attend dog daycare or other activities outside of the home?

YesNo

Travel

Are you able to transport a dog to scheduled veterinary appointments if needed?

YesNo

Are you willing to travel to a Retrieving Freedom location in Iowa or Missouri if needed?

YesNo

Experience & Goals

Do you have previous dog ownership experience?

Yes, some experienceNo, this is my first time

Do you have previous puppy raising experience?

Yes, some experienceNo, this is my first time

Do you have previous dog training experience?

Yes, some experienceNo, this is my first time

Do you have previous whelping experience?

Yes, some experienceNo, this is my first time

Why are you interested in helping to raise future Service Dogs for Retrieving Freedom?

Additional Comments or Questions

Any additional information you would like to share or questions you have about our program

Note: This form is for initial interest only. A meeting will be scheduled to discuss specific needs, requirements, and next steps.