Puppy Form

Please fill out the form in order to be considered for a puppy from an upcoming litter.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Referred by:

Color/Gender Preference? Please list your preferences in order. If you’re not gender or color specific, please just note that.

Have you owned a dog before? A lab?

Do you Hunt? If so, waterfowl or upland?

Will this be a family companion? Please briefly explain your lifestyle.

Do you have kids? If so, ages?

Do you rent or own your home?

Do you have sufficient yard space and/or a local public place you can exercise the dog?

Do you have breeding intentions?

Please explain anything else we should know about you. Personal references and veterinary reference desired but not required.

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