Puppy Application

Kim Wallace-Schall

KiMar Keeshond

1080 Hilltop Drive, Duncansville, PA  16635


Puppy Application

This application is to provide us with contact information so we can discuss further your interest in a KiMar Keeshond puppy. We want to place the best suitable puppy for your family and lifestyle into your home. Submitting this form does not obligate you to purchase a puppy nor does it guarantee that we will have a puppy for you at the time.

Copy below application and paste in an email, complete and submit to above email OR
Print and mail to above address. Thank You.




City:                                                                            State:                                        Zip:



Referred By:

Preference: Male (   ) —Female (   )— Either (   )

Do you plan on training/competing in:  Conformation (   )–  Obedience (   )–   Rally (   ) —   Agility (   )

Is your yard fenced (type of fencing)? If not, how will you provide exercise?

Do you own or rent your home?

Number of adults and children (ages) living in your home

Name and address of your present Veterinarian