Name:
Street Address:
City:
State:
Zip Code:
e-mail address:
Phone number(s)
Most convenient time to reach you:
What time frame are you wanting a puppy:
Were you referred by another breeder, if so who?
Do you have any children, if so, how many and what ages:
Does anyone in your family have allergies to animals:
Do you live in the country or the city:
Do you have a yard and is it fenced in:
If no fencing, how do you plan to contain your Lab:
Is anyone home during the day or do you both work:
Where would you keep your puppy during the day and night:
Have you ever owned any dogs before, if so what kind:
What other pets do you own:
For reference purposes, what is the name & address of your current veterinarian:
Describe your lifestyle and hobbies:
What will you be using your Lab for (companion,show,obedience, therapy/service,hunting,breeding,ect.)
If interested in AKC events, what experiences or titles do you have
What color and sex are you looking for:
1st choice (sex & color)
2nd choice (sex & color)
Do you have any comments or questions you'd like to ask?
If we DO NOT have any puppies in the color or sex that you are looking for, can we forward your application to another Labrador Retriever breeder that may be able to help you find a puppy?
