Mining Camp Labrador’s Puppy Application
Mail to: Mining Camp Labradors
4583 Sunset Ridge Loop
Happy Jack, AZ 86024
Or Email:
Ph: 480.203.7159
We want to ensure that our puppies are in the best home possible. Please complete the following questions. There are no right or wrong answers, but please answer all the questions honestly. This information, along with the temperament test that we give each puppy, will give us the ability to match the right puppy to your family.
Name ______
Address______
City:______State:______
Zip:______
Res. Phone:______Bus. Phone______
Cell Phone:______
E-Mail:______
Preferences
I am interested in a male____female____.
My color preference is black____yellow____.
My color/sex preference is very strong____, I am somewhat flexible____.
The color/sex of the dog are unimportant to me____, I just want a healthy, loving pet.
This dog will be used for
Pet____Show____Breeding____Obedience____other______
Family
Name of Spouse/Companion:______
Names and Ages of Children:______
Is there anyone else who will be living with the dog?______
Pet Ownership Experience
Have you previously owned a dog?______
Have you previously owned this breed?______
If yes, please provide the following for each dog you have owned (attach list, if necessary)
Breed (or predominate breed if (mixed)______
How obtained (purchased, found, given as a gift, adopted, etc.______
______
Age when obtained______
What happened to the dog (sold, given to others, lost, died--include cause of death)?
What animals do you currently own?______
Do you breed dogs now, or have you had experience breeding dogs?______
Which of the following best fits the primary reason(s) you would like to have a dog? If you mark more than one, please put a 1 by the most important and a 2 by the next most important, etc.
__for spouse
__for children
__for other pet
__companion
__attack/protection
__guard dog
__breeding
__hunting dog
__conformation showing
__obedience showing
__tracking
__agility trials
__therapy work
Facilities and Care
Your occupation:______
Your Work Schedule:______
Your Typical hours work per week:______
Occupation of Spouse/Companion:______
Spouse/Companion Work Schedule:______
Spouse/Companion Typical hours work per week:______
How many hours per day would the dog be left alone?______
Who will be the primary caretaker of the dog?______
Do you own your own home?______
If renting, do you have landlord’s permission to have a dog?______
The dog would spend most of its time ______outside______inside the home?
The dog’s sleeping quarters would be ______outside_____inside the home?
Description of outdoor space for the dog:
Fenced yard (type of fence)______
Walking Trails nearby______
Unfenced yard______
Parks nearby______
Kennel run______
Pool______
Open fields______
Garage______
How will your dog be transported?______
How will you exercise your dog?______
What type of a family do you have? Active______Average_____Inactive______
What type of temperament would you like the puppy to have (select one below and
explain why)?
Active & why______
Moderate & why______
Laid back & why______
Additional Information
When you travel, would you normally travel with the dog?______
What arrangements would you make for the care of the dog when it is unable to go
with you?
IMPORTANT
Do you plan to feed your puppy the Prey Model Diet as outlined by breeder?______
Do you plan to follow the Natural Rearing Protocol as outlined by the breeder?______
(please see Natural Rearing Info on our web site)
Please consider what you would do with your dog if any of the following situations were to happen to you:
Divorce Move New baby Loss of job Serious Illness
Are you willing to sign an agreement to bring the dog back to the breeder if you are unable or don’t want to care for the dog anymore?______
Were you referred to this breeder by anyone? If yes, please list name:
______
Veterinarian name and phone:______
Are you willing to spend the necessary funds to provide the necessary health
care for your puppy throughout its life?______
Comment regarding puppy selection
As a responsible Labrador Retriever breeder, we complete a temperament test on all of our puppies during the sixth week of age. The purpose of the temperament test and this questionnaire is to establish a basis for matching a puppy of the correct temperament for you and your family. During your visits with us, you may see a puppy you like. Please be aware that we cannot guarantee that your choice of puppy will be the same puppy that best fits the temperament you requested until after completion of the temperament tests.
List any other comments or conditions the breeder should be aware of and/or included in the contract?
Signature:______Date:______
(Please return as soon as possible to Mining Camp Labradors, address on first
page or scan and email to )
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