Wind Dreamer's Labrador Retriever Puppy Questionnaire

Thank you for your interest in a 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.

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

How can I help you?
Name:
Spouse's Name:
Phone Numbers
Street Address:
Mailing Address:
City:
State:
Zip Code:
EMAIL Address:
Do you have a website? http://
How did you hear about us?
Number of adults in household?
Number of children & their ages?
Are all of the children & adults comfortable around dogs & other animals?
What type of yard do you have at you home for a puppy/dog to rest, play, and eliminate upon? ALL that apply: Dog Kennel Run
Secure Fenced Yard
Unsecured Fenced Yard
Cable/Rope Run
Concrete surface
Unfenced Yard
Yard Tie-down
Grass
Dirt
No Yard
How soon are you looking for a puppy?
What color are you interested in? (Note: Chocolates are NOT available) Black
Yellow
No Preference
Interested in? Male
Female
No Preference
Type of home you live in:
Our puppies are sold as AKC Limited Registration with an spay/neuter agreement. Occassionaly I might consider a placement in a show home under strict conditions - but that is very rare. Do you have a problem with purchasing this puppy under AKC Limited registration & spaying/neutering? No
I would like to discuss this with you
Yes
Who will have primary responsibility for the care of this puppy?
Where will this puppy spend the day?
Is there someone home during the day, or able to get home so the puppy can eliminate outside? Please Explain:
How will you provide security for your puppy when you're away?
Will this puppy have regular contact with its family during the evening? Yes
No
Where will this puppy spend the night?
Is this your first Labrador Retriever? Yes
No
Why are you interested in obtaining a Labrador Retriever puppy? ALL that apply: Companion/Pet
Show
Obedience
Therapy/Service
Agility
Hunting
Breeding
Have you ever been involved in any of the above activities? Please Explain:
Do you currently belong to a AKC Dog Club? Currently belong to a AKC Dog Club
In the Past were AKC Dog Club members
Currently belong to NON AKC Dog Club
Past - Belonged to NON AKC Dog Club
Never joined a Dog Club of any kind before
Interest in joining AKC Lab Retriever Dog Club
List the names of ALL Dog Clubs you have belonged to past and/or present:
If you have had AKC registered dogs, list the AKC registered names & numbers:
How many dogs & what breeds, do you currently own/co-own?
Do you own/co-own any dogs that are currently UNspayed / UNneutered? Yes
No
If so, how many & what are the breeds not spayed/neutered? Reasons?
Have you had a dog that died? Yes
No
If "Yes", what were the circumstances?
Please provide any additional information that would help us in placing a puppy most suited to your family & lifestyle:
Are you planning to breed this Wind Dreamer puppy? No, I/we plan to spay/neuter the puppy
Yes, I/we might like to breed the puppy when older

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