Address:
Phone (home) (work) (cell)
Referred by:
1. Who will be the primary care giver?
2. Where will the puppy be kept during the night?
3. Where will the puppy be kept during the day?
4. Is anyone home during the day?
5. How many hours on the average will the puppy be left alone?
6. Will there be someone available to feed and exercise the puppy during the day?
7. Have you ever owned a dog before?
8. Do you have any other animals?
9. Do you have any children? If yes, what are their ages.
10. Does anyone in your household have allergies to animals
11. If yes, to what and how severe?
12. Are you interested in a male or female puppy and what color?
13.Do you have a fenced yard?
14. Have you ever house trained a dog before?
15. Will you be attending any training classes so you and your family will know how to socialize your new puppy as a pack member. All puppies need to know there place in the pack and if you have small children you will need to train your puppy and your family. This will insure a well socialized puppy for life.
16. How long did your last pet live? What were the circumstances of it's death?
17. Have you ever returned a pet to the breeder? If so, what were the circumstances?
18. Have you ever given a pet away? If so, what were the circumstances?
19.Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?
20.Are you interested in showing the dog in the conformation ring?
21. Have you ever shown a dog to it's championship?
22.Are you interested in competition in performance events such as obedience, agility and hunting?
23.Do you intend to breed the dog?
24. Do you understand the difference between a limited registration and a full registration.
25. Do you know the difference between an English and American style Labrador Retriever?
Peggy Parries
10273 Danville Pike
Laurel Fork , Va. 24352
Ph# 276-398-3514