Name of Spouse/Companion/Significant Other (if applicable):

Names and Ages of Children (if applicable):

Is there anyone else who will be living with the dog? YES / NO

If yes, please provide detail on their relationship to you and the role they will play in your puppy's life?

1. I am interested in a:

A. Male

B. Female

2. My sex preference is:

A. Very strong

B. Somewhat flexible

C. Unimportant to me, I just want a healthy, loving pet.

3. My color preference is:

A. Black

B. Yellow

C. Chocolate

4. My color preference is:

A. Very strong

B. Somewhat flexible

C. Unimportant to me, I just want a healthy, loving pet

5. I am getting the puppy primarily for:

A. Pet

B. Show

C. Breeding

D. Obedience

E. Other, please describe:

Have you previously owned a Labrador? YES / NO

Have you previously owned a dog? YES / NO

If yes, please provide the following for each dog you have owned (attach list if necessary):

Breed (or prevalent breed, if mixed)

1.

2.

3.

4.

How obtained (purchased, found, given as a gift, adopted, etc.)

Age when obtained

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

What animals do you currently own?

1.

2.

3.

4.

Do you breed dogs now, or have you had any experience breeding dogs?

Which of the following reasons best fit the primary reason(s) you would like to have a dog? If you mark more than one please put a 1 by the most important and a 2 by the next most important, etc.

What specifically attracted you to this breed? How did you become interested in owning one?

Your occupation:

Your spouses' / companions' occupation:

Work Schedule(s):

Typical number of hours away from the hour per day:

How many hours per day would the dog be left alone?

Who will be the primary caretaker of the dog?

Do you own your own home?

If not, landlords name and phone number for approval:

The dog would spend most of its time: INSIDE / OUTSIDE

The dog's sleeping quarters would be: INSIDE / OUTSIDE

Description of outdoor space for dog:

_____ Fenced Yard (give type)

_____ Unfenced Yard

_____ Open Fields

_____ Kennel run

_____ Parks nearby

_____ Walking trails nearby

If you are planning on using invisible fencing, how will you contain you puppy until it is old enough to be trained to the fence?

May I come to see your facilities? YES / NO

How will you exercise your dog?

When you travel would you normally travel with the dog? YES / NO

What arrangements would you make for the care of the dog when it is unable to go with you?

Do you need recommendations for boarding facilities? YES / NO

Is anyone in your family allergic to dogs or dog hair? YES / NO

Please consider then describe what you would do with your dog if any of the following situations were to happen to you: Divorce / Move / New baby in the home / Loss of job or serious / Illness

Are you prepared to care for the dog for 10-15 years? YES / NO

Are you willing to sign a Non-Breeding Agreement? YES / NO

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 it properly, and requiring you to return the dog to me if you are no longer able to care for it properly? YES / NO

Are you willing to accept Limited Registration with the AKC for you puppy? With Limited Registration, your dog is still registered as a purebred dog, but it cannot be shown in a conformation class and its offspring cannot be registered with the AKC. YES / NO

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

Two Personal References - Name, phone, relationship:

Any other comments or conditions to be included in the contract?