Wind Dreamer's Adult Labrador Retriever Questionnaire

Thank you for your interest in a Adult Wind Dreamer Labrador Retriever.  I would appreciate your answering the following questions.  Your answers are useful in ensuring that the best puppy is selected for the right person.  By completing this application you are under no obligation to purchase a puppy from me, nor does it guarantee the availability or promise of a puppy at this time.  All information will be kept confidential.

(Please answer all questions, & click on the "Questionnaire Completed")

Contact Information (*required)

Your Name:
&
Spouse:

Street Address:
City:
State:       Zip Code:

Home Phone Number:
Fax Number:
Mobile (Cell) Number:
Most convenient time to reach you:
Your Email Address:
your Website URL:

How did you hear about us? 

How can I help you? 

Your comment/question:


Other Adults in Household?

Do you have children living at home? Yes  No
    #Boy(s)    #Girl(s)

Ages of Children?


Do you live in:

Do you:own or rent

Home  Apartment  Mobile Home  Ranch  Other

What type of yard do you have for a dog?

Please provide any additional information / questions about your interest:

Is this your first Labrador Retriever? Yes No

Do you belong to a Kennel Club? Yes No

If you have had AKC registered dogs, Please list the AKC registered names and AKC numbers.


How many dogs, and what breeds, do you own/co-own?

Do you have any dogs that are still fully intact ( UNspayed/UNneutered ) ? Yes  No
How many UNspayed females?
     How many UNneutered males?

What breeds are these UNspayed/UNneutered dogs?

What are the reasons  you have not spayed/neutered the dog(s)? 

Have you have had a dog(s) die and/or had a dog(s) euthanized (put to sleep)? Yes  No
What were the reason (s)? 

                                                                                                

WIND DREAMER ADULT ADOPTION APPLICATION

THERE WILL BE A $125 ADOPTION FEE. This Fee covers the cost of the spay

Please re-enter your email address  
   
 
Where will your adopted dog spend the day?
   
 
Will the dog have limited access inside the home?  Where?
   
 
How many hours, on average, will the dog be alone each day?
   
 
Where will the dog be when you are not at home?
   
 
Where will the dog be when you are at home?
   
 
Where will the dog spend the night?
   
 
FAMILY INFORMATION
 
Co-applicant Name:
   
Relationship to applicant:
   
How many adults in household?
   
If applicable, what are the ages of any children living at home?
   
 
Does anyone in your home have allergies to animals?
   
Do you currently have a dog(s) in your household?
(For each, please give us the following information:
Breed or size, age, whether the animal is altered,
and whether it is an indoor pet or outdoor pet)
   
How many dogs have you owned in the past 5 years?:
What happened to those you don’t own now?:

   
Do you own any other pets?  Please describe (i.e..  3 indoor cats, 2 parakeets, 1 hamster)
   
Have you ever had to give a pet away?  If yes, please explain
   
HOUSING INFORMATION
How long have you lived at this address?
   
Do you live in a apartment, condo, house, military housing, mobile or other?  
   
Do you own or rent?
   
If you rent, do you have written documentation from your landlord authorizing you to have a large breed dog?
   
Do you have a fenced yard? If yes, please tell us the type of fence and how high it is.
   
Does the fence completely enclose the yard for a dog?
   
DOG INFORMATION
You would like a dog for: house pet, guard dog, companion, gift for someone, a companion for another dog, hunting, or other (please explain):
   
Please indicate any traits your family CANNOT deal with:
(Shy, Not good with cats, Not good with other dogs,  Dependent on people, Independent from people, Untrained, Somewhat untrained, Not housetrained, In need of ongoing medical attention,
Other)
   
CARE OF YOUR LABRADOR RETRIEVER:
Have you attended obedience training with a dog previously?  Do you plan to enroll in an obedience class with your adopted dog?
   
I understand that the initial adjustment period between a dog and its guardian is critical.  Please describe your plans to supervise your dog:
   
Describe the type of outdoor shelter for your dog.:
   
Do you have a doggie door?  If there is no doggie door, the dog will be able to get in and out of the house the following way:
   
How will you exercise your dog?:
   
Dogs left alone frequently dig, chew, bark or other unacceptable behavior.  How will you deal with these potential problems ?:
   
Dogs require annual vaccinations and routine veterinary care.  Please estimate total care costs you are willing to pay for the dog (including vet care, food, grooming, licensing, toys, training, etc.) for a year.
   
Your family would not be able to keep this dog under the following circumstances:
(Examples: Divorce, Relocation, Pregnancy/New Baby, Illness, New Job or job loss, New Roommate, New Carpet / Furniture, Natural Disaster, Kids too rough with dog,
Dog too rough with kids, Does not get along with other pet(s),
Soils inside the house, Chews/damages property, Needs too much attention/time, Dog incurs expensive vet bills, Needs special diet, Dog becomes disabled, Other):  
   
Do you agree to contact Wind Dreamer Labrador Retrievers if you can no longer keep this dog?:
   
While out of town, you plan to provide for your dog in the following way:
   
Would you be willing to let a representative of Wind Dreamer Labrador Retrievers visit your home by appointment?:
   
Additional Comments:
   
 
WANT TO ADOPT?

1) Complete and submit the adoption application below.  (Our adoption fee is $125 which can be paid in cash the day you take your Labrador retriever home.)
2) You will be contacted by Wind Dreamer to set up a home visit.

IN ORDER TO BE CONSIDERED AS AN ADOPTER, YOU MUST:
  • Be 18 years of age or older
  • Have identification showing your present address
  • Have the written consent of your landlord (if you rent)
  • Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care throughout the entire life of this dog.

    The responses you provide on this application will help us to find the best possible match for our Adult Labrador Retrievers. 
  • Please include area codes with all phone numbers. If no phone numbers are given, this application will not be considered. Please respond to questions below. After we receive your application, you will be contacted by Margaret Cunningham of Wind Dreamer Labrador retrievers to discuss your application and schedule a home-check.

    General Agreement

    I am at least 18 years old.  All of the information I have given above is true and complete.  Should an unaltered dog be placed with me, I agree to have it neutered within one month of adoption.  This dog will reside in my home as a pet and will not be strictly an outdoor pet.  I will provide it with adequate food, water, shelter, training, affection, and medical care.  I understand that it is my responsibility to see and evaluate the dog myself before agreeing to adopt it.  I will not relinquish ownership, abandon, or dispose of such a dog in any way.  If I cannot keep him or her, I will physically return the dog back at Wind Dreamer Labrador Retrievers in Heperia, and sign ownership back over to Wind Dreamer Labrador Retrievers.  I do not expect reimbursement if this happens.  I am in full agreement with these terms of adoption. Wind Dreamer Labrador Retrievers is not liable for any damage, accident, or injury resulting from the placement of a dog into my household.

    By submitting this application on-line, I agree to the terms and conditions outlined above.( name below:)

  • Last Updated: April 07, 2008
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