Date_________________________________________
Name________________________________________
Address_______________________________________________________________________________________
HomePhone___________________________WorkPhone________________________MobilePhone________________________
Email address____________________________________________
PREFENCES
I would prefer to get my puppy (timing) next available __________________any particular litter____________________
1. My first choice is: black____ yellow_______ chocolate______ M___F____
My second choice is: black______ yellow_____ chocolate____M___F____
2. Size of adult labrador preferred: bigger smaller average doesn't matter
3. My color/sex prefernces is : very strong / I am somehwat flexible / the color ,sex are very important to me/
I just want a healthy , loving pet
4. The puppy/dog will be used for: pet / show / Breeding /Obedience / Hunter / Other
FAMILY
5. Name of Spouse/Companion:
6. Ages of Children:
7. Is there anyone else wo will be living with the dog?
PET OWNERSHIP EXPERIENCE
8. Describe previously owned dogs.. what breed....where they are now...age...how obtained
9. What animals do you currently own?
10. Are you currently on the waiting list for any other litters?
11. Do you breed dogs now, or have you had experience breeding dogs?
12. Which of the following reasons best fit the primary reason you would like to have a dog? If you have more than one
please put a 1 beside the most important 2 beside the next and so forth.
for spouse
attack/protection
breeding
for the children
companion
for other pet
conformation showing
guard dog
obedience showing
tracking
13. What specifically attracted you to this breed? How did you become interested in owning one?
FACILITIES AND CARE
14. Your occupation_____________________________ work schedule____________________
15, Spouses occupation and work schedule
16. How many hours per day would the dog be left alone?
17. Who will be the primary caretaker of the dog?
18. Do you own your ow home?
19.If not, what is your landlords name and phone number for approval
20. Where would the dog spend most of his time: Outdoors / Inside the Home
21 The dogs sleeping quarters would be: Outdoors / Inside the Home
22. Description of outdoor space. Indicate all that apply.
Fenced yard ( give type)
Unfenced yard
Open Fields
Kennel Run
Garage
Parks nearby
Walking trails nearby
23. May I com to see your facilities?
24. How will your dog be transported?
25. How will you exercise your dog?
ADDITIOAL INFORMATION
26. When you travel would you normally travel with the dog? Yes / No
27. What arrangements would you make for the are of the dog when it is unable to go with you?
28. Do you need recommendations for boarding facilities?
29. Is anyone in your family allergic to dogs or dog hair? Yes / No
30. Please consider what you would do with your dog if any of the following situations were Nto happen to you?
Divorce
Move
New baby i the home
Loss of job or serious illness
31. Are you willing to sing a non-breeding agreement? Yes / No
32. Are you planning to spay or neuter your dog and at what age?
33. How did you find out about Denlyn Labradors?
34. Do you need dog food recommendations?
35. If you were referred to me by someone else please list them for me
36.. Veterinarian name and phone number
37. Two personal references.... Name. phone number, relationship
