ANSWER THE FOLLOWING QUESTIONS AND EMAIL THE FILE …



APPLICATION TO PURCHASE LABRADOR RETRIEVER

Guardianship of another animal (you are one, too) is a major responsibility and a long-term commitment. You may share 10-20 years of your life with the puppy you adopt. In order for me to evaluate your suitability to be an adopter of one of my beloved puppies, you must be: (1) at least 18 years of age; and (2) able and willing to spend the time and money necessary to provide the proper day-to-day care, training, and veterinary care for the puppy you wish to adopt for its lifetime. Please answer the following questions and return to me by email attachment:

Name: _______________________________________________

Spouse/Partner: _______________________________________________

Address _______________________________________________

City _______________________________________________

State: ________________________________ Zip _________

Home phone: _________________ Work phone: ______________

How long have you lived at this address? ____________________________

Your E-Mail address at home: _______________________________________

Your E-Mail address at work: _______________________________________

Your Age: _________ Age of Spouse/Partner: ______________

No. of Children: _________ Ages of Children: ___________________

Others who reside in your home and ages:

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Do any of the people in your home have allergies? ______________

Are any of the people in your home afraid of dogs? ______________

If so, who: ____________________________________________________

Do all members of your household want to get a dog? ______________

Who will take primary care of and responsibility for the puppy? ______________

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Who will be responsible for the puppy if something happens to you?

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Do you own or rent? ________ Is it a house/apartment/condo? _____________

Do you have a yard? ____ How big? _____________________

Do you have a fence? ____ if so, how high is it? ____ What kind: ___________

Are you familiar with the Labrador Retriever breed? ______________________

Do you want to show your puppy in AKC conformation events? Yes ____ No ____

Do you want to take your puppy to AKC agility trials? Yes ____ No ____

Do you want to do obedience with your puppy? Yes ____ No ____

What kind of dog do you want? Male: __________ Female: ________

What color do you want? Yellow: _______ Black: _______ (No Chocolates)

What age of dog do you want? Puppy: ____ Young adult: ____Older adult: ____

Will you take the puppy you get from me to basic training? ______________

Why do you want to have a dog? _____________________________________

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How many dogs have you had in your life? ______________

How many dogs has your spouse/partner had in his/her life? ______________

How many other kinds of animals do you have now? ________________________

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Do you agree to spay/neuter your Lab? ______________

If not, why not? _________________________________________________

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Name, address, and phone number of your veterinarian reference: ______________________________________________________________

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Names and phone numbers of three personal references who can vouch for your treatment of animals:

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What is your occupation? __________________________________________

What are the name, address, and phone number of your employer?

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What is your spouse/partner’s occupation? _____________________________

What are the name, address, and phone number of your spouse/partner’s employer?

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How many hours are you away from home each day? ____________

How many hours is your spouse/partner away from home each day? ____________

Where will the puppy stay during the day?

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Where will the puppy sleep at night?

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If you go away for a few days, who will care for the puppy? _________________

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Have you ever taken a dog to the animal shelter, humane society, pound, or other facility that euthanizes animals? Yes _____ No _____ If yes, why: ________

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If your puppy has an emergency or serious illness, what is the maximum you are willing or able to spend on veterinary care?

None __ $5 __ $10 __ $50 __ $100 __ $250 __ $500 __ $1000 __ No limit __

May I visit your home to see the puppy and how it is being cared for? _________

How did you learn about Blossom Valley Ranch? __________________________

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By typing my/our name(s) below, I/we agree that my/our typed name(s) constitute(s) an electronic signature for legal purposes, that the information provided in this application is true and correct to the best of my/our knowledge, and that any material misrepresentation in this application is grounds for the breeder to immediately rescind any Contract of Sale that results from it and repossess the puppy with no reimbursement of price.

Applicant’s Signature: _____________________________________________

Spouse/Partner’s Signature: ________________________________________

Date: ______________

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