• Name:

• Address:

• Phone:

• E Mail:

• What attracts you to the Labrador Retriever? Have you read any reference materials?

• Type of dwelling? Home Condo Apartment Mobile Home Other

• Do / Will you have a Veterinarian?

• Will you need to have a puppy shipped to you? (Refer to www.delta.com for pricing)

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1. Do you understand the difference between a limited registration and a full registration? (Refer to www.akc.org/reg/limitedreg.cfm)

2. Are you interested in showing a dog in the conformation ring?

3. Are you interested in competition in performance events such as obedience, agility, hunting, tracking, etc.?

4. What sex and color puppy do you want? (Please write in male / female – black / yellow / chocolate)

First Choice –

Second Choice (or no option) –

Third Choice (or no option) -

5. Do you currently have a dog(s) or other animals?

6. Do you have a fenced yard or suitable pen?

7. Do you plan to house / crate train the puppy?

8. Where will the puppy be kept during the night?

9. Where will the puppy be kept during the day?

10. Will you consider puppy training classes?

11. Have you ever returned a pet to the breeder, given a pet away, or taken a pet to a pound or shelter? If so, what were the circumstances?

12. Sometimes we have more inquiries than puppies available. If we are unable to provide you with a puppy from an upcoming litter, do you want to be placed on our contact list for litters in the near future?