Adoption Questionnaire. Please complete all necessary fields and we will get back to you as soon as possible, thank you.
Your name:
Your email address:
Name of spouse/companion:
Do you have children under 18?
Yes
No
Ages of children if under 18.
Your phone number (with area code):
Address: including City/Town, State/Prov., Zip Code, Country:
Are you looking for a
male
female
no preference
Do you have a preference in colour
black
yellow
chocolate
no preference
Please check those that best suit your reason for wanting a labrador retriever.
family pet
field work
hunting
tracking
conformation/show
obedience
agility
service work
search and rescue
How much time will you and your family have to spend with the pet each day?
5-15 minutes
15-30 minutes
30+ min <1 hour
1 hour or more
Do you have any pets at the moment?
Yes
No
If yes, what kinds
dog
cat
ferret/rabit
other
male/
female
neutered/
spayed
male/
female
neutered/
spayed
neutered/
spayed
bird
fish
reptile/amphibian
rodent
check all applicable
Are you planning on attending dog school?
Yes
No
Have your pet/pets been vaccinate within the past year?
Yes
No
How active is your family
shut in (hate the cold winter/hot summer days)
not very active (walk to the car)
quite active (show me the trails)
very active (the answering machine is full again)
check one
Is your yard completely fenced?
Yes
No
If yes, what type of fencing?
chain link
solid wood
wire mesh
picket
barbed wire
electric
invisible
Have you ever surrendereda pet to a humane society or SPCA or pound
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 the dog properly, and requiring you to return the dog to me if you are no longer able to care for it properly?
Yes
No
Two personal references (please include name, phone, relationship):
Additional comments: Please let us know if there is any other information you would like us to know about you and your family.
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