Person(s) Applying for a Puppy *

First Name

Last Name

Spouse/Partner/Other Adult in Home (if applicable)

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Have you owned a Rhodesian Ridgeback before?

Yes

No

What are you hoping you'll get with a Ridgeback Puppy:

Running Partner

Family Protector

Camping Buddy

Best Friend

Other (not listed here)

Do you prefer *

Male

Female

Either (choose the best puppy for me/us)

When it comes to ridgeless puppies: *

Sure!

No thank you. I prefer a ridge.

There are several competitive sports you can do with your Ridgeback. Check if you'd be interested in learning more about:

Dog Shows

Lure Coursing

Obedience

Agility

Barn Hunt

Breeding

I understand that Piney Creek matches puppies to the appropriate family. I understand that, upon purchase, I will be required to sign a contract agreeing that, in the event I should EVER be unable to care for my dog, it will be returned to Piney Creek. Further, I understand that Piney Creek expects all families to treat the new puppy as a family member meaning it will NOT be an outside kennel dog.

Yes

No