Address:

City/Town:
State/Prov.:
Zip Code:
Country:

I prefer a: male/female/no preference

My color preference is: black/yellow

The dog will be used for: Pet/Show/Obedience/Agility/Tracking/Hunting/Service Work

Have you previously owned a dog?

Have you previously owned a Labrador Retriever?

What happened to the dog (sold, given away, lost, died (include cause of death)?

How many dogs do you own at the present time?

Where will the dog spend most of its time? Outdoors/Inside the home

Do you have a fenced yard/kennel?

Is there somebody home during the day to care for the dog?

If not, who will come in during the day to "potty" the puppy?

How many hours would the dog be left alone?

Have you crate trained a dog before?

Do you have a crate?

Have you taken your previous dogs to obedience classes?

Who will train the puppy?

Are you prepared to own a dog for 10+ years?

Is anyone in your family allergic to dogs or dog hair?

May I come to see the dog?

Are you willing to sign a contract authorizing me to seize the dog if you provide me with false information or do not care for the dog properly, and requiring you to return the dog to me if you are no longer able to care for it properly?

Please consider what you would do with the dog if any of the following situations would occur to you:
Divorce * Move * New baby in the home * Loss of job or serious illness.

Referred to me by:


Veterinarian name and phone (Please contact your vet and ask permission for me to make a reference call):



Two personal references (please include name, phone, relationship):



Additional comments: