Please complete this form so that we can help to match you with a puppy.
First Name:
Last Name:
Are you the person who will be responsible for the care and training of this puppy?
Phone Number:
Email Address:
Mailing Address:
City, Province:
Postal Code
Today's Date
Which litter are you inquiring about?
First Choice Puppy Color:
Second Choice Color:
Sex Preference:
Would you consider a puppy of the opposite sex if your first choice is not available?
Your ideal puppy take home date (month/year or season)?
I am flexible on the take home date:
Are you looking for a puppy for a specific purpose?
Agility Trials
Search & Rescue
Field Trials
Hunt Tests
Obedience Trials
Please tell us how your heard about our dogs:
Are you interested in  breeding rights (full registration), either for breeding
purposes or for competition? *** All puppies are CKC registered***
Do you own or rent/lease your home?
Is your home a:
single family detatched house in city/town
home on a farm or acreage
Is your yard fenced? If yes, height/type of fence:
What is your occupation?
Please list the names and ages of any other people (adults or children) living at this residence:
Where will the puppy sleep at night? Where will the puppy be contained while you are away during
the day (at work, etc)?
Are you planning to do any training classes with this puppy? If yes, do you have a trainer in mind? If
no, please describe how you plan to ensure this puppy will be a well socialized, well behaved pet.
How are you planning to get your puppy?
Please use this area to tell us about yourself and how a Lab will fit in to your life.  If there are  
other pets in your household, please list their names, species/breed and ages. Also, indicate if
there are any special traits or characteristics that you are looking for in a puppy, or if you have
questions for us!
Thank you for taking the time to complete our questionnaire! Please watch your email
as we will reply to confirm that it has been received, and to ask any additional questions
or to arrange a phone call or visit. You may also call or email us at any time.
Yes, I have read the pre-purchase checklist and understand it all or will ask for
clarification on unclear issues.
Yes, I have read the Puppy Purchase Contract & Health Warranty and understand
that the terms are non-negotiable and that signing will occur on puppy pickup day.
All Contents and Photographs copyright (c) Eromit Labradors 2009. All Rights Reserved. Website Design by Kinderdoggin Web Design.
******Please read our pre-purchase checklist prior to submitting this form.*******

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Eromit Labrador Retrievers
Eromit Labrador Retrievers