Riorock Labrador Puppy Application Form
Name
Spouses name (if applicable)
Address
City
State
Phone (Include Area Code)
Email
What is your occupation:
What is your spouse's occupation? (if applicable)
What gender of puppy are you interested in?
Male
Female
Male but consider Female
Female but consider Male
Either
What color puppy are you interested in?
Black
Chocolate
Yellow
No Preference
Would you consider a puppy of another color if your color preference is not available?
Yes
No
For what purpose(s) are you interested in a Labrador Retriever?
Pet
Obedience
Breeding
Conformation
Agility
Field Events
Hunting
All our puppies are sold on AKC Limited Registration and a Spay/Neuter Contract. Do you have a problem with this?
Yes
No
If yes, please explain why.
Have you ever owned a Dog or Labrador before?
Yes
No
If not still living with you, what were the circumstances surrounding his/her departure?
What books or reference material (if any) have you read about Labradors and Training?
What animals do you currently own?
Who will be the dogs primary caretaker?
Is there someone home during the day or able to get home to potty the puppy?
Yes
No
Where will the puppy spend the day?
Outside in the yard
Outside in a kennel
Inside Loose
Inside in a crate
Garage
Will this puppy have regular contact with its family during the day?
Yes
No
Where will the puppy send the evening?
Outside in the yard
Outside in a kennel
Inside Loose
Inside in a crate
Garage
Will this puppy have regular contact with its family during the evening?
Yes
No
Do you have a fenced yard?
Yes
No
If not, please explain how you will keep your puppy safe when it's outside or when you are away from home.
Do you live in:
Apartment
Town House
Single Family Residence
Do you own or rent your home?
Yes
No
Please explain how you plan to exercise your puppy?
Do you have children?
Yes
No
If yes, please list ages of children?
Are you aware that Labradors shed?
Yes
No
Is anyone in the family allergic to dogs?
Yes
No
Are you willing to take your puppy to puppy kindergarten classes or basic obedience classes?
Yes
No
Are you prepared to take full responsiblity for a dog and all its needs for the next 10 to 15 years?
Yes
No
Have you ever given up a dog to a shelter, rescue or pound?
Yes
No
If so, why?
Have you spoken with any other Labrador Breeders?
Yes
No
If yes, please list them below
Are you currently on the waiting list for any other litters?
Yes
No
If approved, how do you plan on getting your new puppy?(Shipping is limitied to time of year)
Pickup
Ship
Are you willing to provide us with feedback at regular intervals as far as the puppy's development and how the puppy is adjusting to his/her new home? We love to receive pictures.
Yes
No
Do you understand that even though we have taken the time and expense to engage in extensive health screening our Labradors there can be no guarantees that the puppy/dog is completely free of genetic defect?
Yes
No
Please consider and describe what you would do with your puppy if any of the following situations were to happen to you? Divorce
Move
New Baby in House
Loss of job
Serious illness
Is there anything else you would like us to know about you?
