Adoption Form

PLEASE FILL IN ALL AREAS BEFORE HITTING THE SUBMIT BUTTON, Thank-you

PLEASE FOLLOW UP WITH A TEXT TO ENSURE I HAVE RECEIVED YOUR APPLICATION, 306-867-1371

Name

Address

City & Province

Postal Code

Home Phone Work Phone Cell Phone

Email Alternate Email

How do you wish to be contacted? select home phone cell phone text message email

Have you ever owned a dog? select yes no Have you ever owned a labrador retriever? select yes no select as a child as an adult

Do you have children or grandchildren? select yes no List ages

Will this dog be around a Child daycare facility? select yes no

Select Gender select Male Female Doesn't matter Litter Requested 2nd Choice

Are you open to a change of gender or litter to get the best possible match for your houeshold and needs? select yes no

Are you willing to wait for the right puppy, if it means waiting for the next available litter? select yes no

If you answered NO to either of the two prevoius questions, please explain

What is the primary purpose of the pet? select family pet hunting dog running partner hiking partner field trial showing agility trial gun dog shed dog hunting dock diving What best describes the level of activeness desired? select docile active very active high drive retriever cuddly companion

Best describe what traits you want?

Best describe traits you DON'T want?

Is the entire household in agreement of this pet? select yes no Who will be responsible for the care of this pet? select husband wife partner children family effort

Where will this dog be excersized? select on leash parks off leash parks fenced yard farm yard hiking or running trails Do you have access for swimming? select yes no Where?

How long will your pet be left for duing the day?

Where do you live? select City town acreage farm Do you live in a? select house apartment condo Is your yard fenced? select Yes No Where will the puppy live? select inside house outside house

Do you have other pets? select none dogs cats horses other livestock

If you have other dogs, how many? select none 1 2 3 4 5 more than 5 List the breed, age and gender

Are they spay or neutered? select Yes No Do you agree to have this pup spay or nuetered? select Yes No

Has any pet died from Parvo, Distemper, or Rabies in the last 12 months on these premises? select Yes No If yes, what disease? select n/a Parvo Distemper Rabies

Do you agree to get annual shots? select Yes No Do you agree to keep your puppy away from public places until fully vaccinated? select yes no

Will you be crate training? select yes no

Tell me about your family and lifestyle, so i can help you find the perfect pet for your needs

THIS IS ONLY AN APPLICATION, YOU MUST BE APPROVED AND SEND THE REQUIRED DEPOSIT TO BE PLACED ON THE WAITING LIST FOR THE NEXT AVAILABLE LITTER

ALL DEPOSITS ARE NON-REFUNDABLE, BUT CAN BE APPLIED TO THE NEXT YEAR IF YOU ARENT READY WHEN YOUR NAME COMES UP.

PICK UP DATE MUST BE NO LATER THAN 4 DAYS AFTER ASSIGNED GOING HOME DATE. IF THAT IS NOT POSSIBLE, YOU WILL BE PLACED ON THE NEXT AVAILABLE LITTER, PLEASE SET UP YOUR PICKUP DATE AS EARLY AS POSIBLE