Please fill out this questionnaire, if your interested in a puppy or older dog. You might check if we have a litter coming if none are listed, or there might be a wait of a few months before we have a litter available. We screen all applicants before placing them on our waiting list. When a litter is born, we take a deposit to hold your puppy until 8 weeks of age. You may visit the kennel before the puppies are born; visits are not allowed again until the pups are 6 weeks old. All puppies are temperament tested to better match you with the right puppy. You can copy and paste this questionnaire as an EMAIL to firstname.lastname@example.org.
How did you hear about us?
If a referral, who?
How did you find our website?
City, State, Zipcode:
Number of Family members:
Ages of Children:
Do any members of your family have any types of allergies? YES NO
If Yes have they been tested for animals? Explain.
Are you an active military family?:
IF yes, have you been overseas?:
What kind of house do you live in?:
Do you own or rent?:
If Rent does your lease include pets:
Or will your landlord give you a letter of permission:
If you rent please list your landlords name and phone number:
Do you have a fenced yard?:
What kind of fence do you have?:
If No fence how will you properly exercise the dog:
What Type of Area Do You Live In? City Rural Suburban
Where will the dog live? (inside, outside, both):
Have you had a Labrador or Golden before? Yes No
If yes, please tell us about your dog.
Include how you acquired the dog, when & how long you owned it & what has happened to it:
Choice of Breed:
Golden or Labrador
What Color if a Labrador: Black or Yellow
Choice of sex: Male Female or either
Please explain why you want a dog (pet, companion, breeding, show, obedience, protection):
Have you familiarized yourself with:
The care requirements of a Retriever - Lab or Golden ? Yes No
The grooming requirements of a golden retriever? Yes No
The amount of shedding experienced with retrievers? Yes No
The attention and exercise required by retrievers? Yes No
Who will train the dog?:
Have you taken your previous dogs to obedience classes?:
If yes, list what kind of classes, and where you took them.
Do you plan on taking the new puppy?
Who will be doing the training?
Who will care for the puppy?:
Does everyone work (or attend school) all day?:
How many hours an average day are you away?:
If everyone works or goes to school all day have you thought who will come in during the
day to "potty" the puppy?:
Please explain the arrangements you are making.
What happened to your last dog?:
List all pets in the current household:
List all previous pets in the last 5 years, and what happen to them:
Are you prepared to care for a dog for 10+ years?:
Are you planning on moving,?
if yes, have you planned on what you will do if problems arise with housing the dog?:
Are you aware of the health benefits of spaying and neutering
Were your other pets spayed or neutered?
Have you used a crate to housebreak a dog before?:
Do you have a crate?:
Do you plan on using a crate with your new puppy?
How much do you think it will cost to care for a dog each year? (veterinary care, food, grooming):
Please add what you are looking for in a dog; what you
expect from a dog as far as companionship and temperament:
Do you understand there is no 100 % guarantee your puppy will not have a genetic problem even though the parents have their clearances? Yes or No
Do you understand what AKC Limited Registration is? Yes or No
Do you understand if you are chosen for a puppy you will be ask to send a non refundable deposit of $200 that will hold your puppy until they are ready to go to their new homes.
Yes or No I do not understand.
Have you read the GRCA (Golden Retriever Club Of America) website
Yes or No http://www.grca.org
Have you read the LRC (Labrador Retriever Club) Website information?
Yes or No http://www.thelabradorclub.com/
You can edit the e-mail with your answers, then hit send. I will get back to you if I have a litter on the way or you can sign up for our notify list on the puppy page at: http://www.k9dejavu.com/PUPPY.HTM
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