Owner Application

Name *

First

Last

Email *

Your Current Address

Type of Residence

House
Apartment
Condo

How Many Years Have you lived at your current address

Who will be the primary care giver?

Is anyone home during the day?

Yes
No

How many hours are you home during the day?

1-3 hours
3-5 hours
5+ hours

Where will the puppy be kept during the day (Please Describe)

Where will the puppy be kept at night (Please Describe)

How many hours a day will the puppy be left alone on average

Have you ever owned a Labrador Retriever?

Yes
No
No but I've owned other breeds

Do you own any other pets?

Yes
No

If Yes, please describe

Do you have any Children?

Yes I have children under the age of 5
Yes I have children over the age of 5
Yes I have children under the age of 5 and older children as well
Yes I have an infant and other children
Yes I have an infant only
No I don't Have any children

Does anyone in your house have allergies?

No
Yes but mild and treated
Yes very severe cannot be treated
We are not sure

If yes to allergies please describe

Do you plan to leave your pet outside?

Yes
No

How many hours a day will your pet be outside

1 hour
2 hours
3 or more hours
Only to go to the bathroom or play

Do you have a fenced yard?

Yes
No

How will your dog be confined outside?

In a fenced yard
In a pen
On a leash
other

If other please describe

What is your color prefrence?

Yellow Labrador
Black Labrador
Chocolate Labrador

Do you prefer a Male or Female puppy?

Male
Female

What types of floors do you have in your home?

All tile
All wood
All Carpet
A combo of Wood or tile and carpet

Have you ever house trained a puppy?

Yes
No

Are you familiar with Crate Training?

Yes
No

Do you plan to attend any training and or socialization courses

Yes
No

Name of primary Veterinarian you use or plan to use

Primary Veterinarian Phone number

Additional Comments/Questions/Concerns?

Puppy Questionnaire