Application Agreement

(Once you have been approved for a puppy,
please print two copies, complete, sign and forward to Rebelcreek)


Applicant:                                                                                    Breeder:      Karen & Drew Black
Address:                                                                                     Address:      Rebelcreek Reg'd Kennels
                                                                                                                           R.R. #2, 103 Waite Road
                                                                                                                           Pontypool, Ontario
                                                                                                                           L0A 1K0
Telephone:                                                                                   Telephone: (905) 986-4358


1.     The applicant(s) ensures that the information given to the breeder is truthful and accurate.
2.     The applicant(s) has read Rebelcreek Reg’d Kennels’ Agreement for Sale
3.     The applicant(s) shall pay an application fee of $ (           ) in consideration of a puppy from the following litters:

                                First choice  __________________________________________ if unsure leave blank

                                Second choice  ________________________________________ if unsure leave blank

        The applicant(s) understands that should a puppy not be available from their first choice litter then the application
        fee shall be in consideration of a puppy from the next available litter.
4.     The applicant(s) desires a  ____Male  ____Female puppy.  The applicant understands that if a puppy of their chosen
        sex is not available from this litter then the applicant shall either accept a puppy of the opposite sex or accept a puppy
        of their chosen sex from the next available litter.
5.     The applicant(s) understands that the puppies are chosen on the basis of the order in which application fees are
        Received and that “show quality” puppies receive priority over “pet quality” puppies.  The breeder reserves the right to
        choose the puppy for the applicant.
6.     The breeder cannot and does not in any manner, guarantee the applicant a puppy from their litter of choice.  While
        the breeder is careful not to “over-commit” the puppies from any given litter, the breeder cannot make guarantees
        where less than 6 puppies are born.  Should a puppy not be available from the first choice of litter noted above then
        the application fee shall be in consideration of the next available litter.
7.     The applicant(s) understands that the application fee is NON-REFUNDABLE.  Should the applicant decide not to be
        considered for a puppy, the applicant forfeits his/her application fee.
8.     The breeder reserves the right to not place a puppy with the applicant should the breeder feel that the applicant
        cannot provide a suitable home.  Such decision may result from, but is not limited to, occasion where the applicant
        has given non-factual information to the breeder.  In the case where the breeder chooses not to place a puppy with
        the applicant the breeder shall refund the application fee.
9.     The application fee for a Rebelcreek puppy is $__________.  In the case where this fee has been paid by cheque
        and the cheque is returned N.S.F. the application shall replace the payment in cash and pay to Rebelcreek
        an additional $25.00 for service charges incurred.  Failure to make such payment shall void the application and the
        applicant(s) shall no longer be considered for a puppy.
10.   The complete cost of the puppy shall be $  ( ____________________________________________________ ).
         Final payment shall be in cash, certified cheque, bank draft, or money order prior to the puppy leaving Rebelcreek.
11.   The applicant further agrees to the following terms:

(a) visitation of puppies shall not occur before the puppies are four weeks.  Visitation if by appointment and is at the discretion of the breeder (dependent on the health and comfort of the mother and her puppies).  Puppies shall be handled at the discretion of the breeder only and parents must ensure that children are supervised at all times, that the mother and puppies are treated kindly and carefully.  Adverse behaviour will result in termination of visitations.
(b) Puppies are released from Rebelcreek Kennels at 8 weeks.  Rebelcreek Kennels will hold puppies after the the 56th day at the cost of $15.00 per day (except where the 56th day falls during the week and the applicants and breeders agree it is in the best interest of the puppy to go home the weekend following the 56th day).

The application fee of $  ____________    (                ) is hereby made on this  _____ day of  ________________, 2004.
  ________________________________      ___________________________________
Karen Black                                                          Applicant



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