Puppy Application Form

How did you hear about us?

Full Name(s)

First NameLast Name

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Primary

Area CodePhone Number

Phone Number - Secondary

Area CodePhone Number

Do you live in a:

Do you:

If Renting: Please indicate landlord contact information

Household Setting

Describe your Homes Activity Level

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Please select the option that best describes you.

If other, please describe.

If applicable, please select the option that best describes your partner/co-owner of puppy.

If other, please describe.

Do you or anyone in your household smoke cigarettes, e-cigarettes, cigars, or marijuana?

Does Anyone in your Household have Allergies to Animals?

Are all members of your Family agreeable to adding a new puppy to the home?

Please List any Pets you currently have living in your home (Please include Name, Breed, Age, Sex, and spayed/neutered)

Do you have a preference on the sex of the puppy?

Do you have a colour preference? (Check all that apply)

Which is more important to you, sex or colour? If you are only interested in one sex AND colour please select both. Note: wait times may be longer to applicants that select both.

What year are you hoping to add a puppy to your family?

What do you currently feed your dog(s) or what do you plan to feed your dog? (Include name and brand e.g., Purina Proplan Large Breed Puppy Chicken)

Do you currently or plan to feed raw?

Please describe your lifestyle in as much detail as possible. (Ex., camping, outdoor activities, hunting, family gatherings, homebodies, etc.)

Have you owned a dog before?

Have you owned a Labrador before?

If you answered yes to owning a dog or Labrador before, please describe your experience.

If you answered no and this will be your first dog, please describe why you chose a Labrador and what you have done to prepare for a new puppy.

Do you understand that North Legacy Labradors are sold with non-breeding contracts? (Refer to our sample contract on our website under the "resources" tab for more details.)

If you answered no, please list any questions or concerns you may have with the non-breeding contract here.

Do you understand that North Legacy Labradors are sold with breeder-buy-back contracts? (Refer to our sample contract on our website under the "resources" tab for more details).

If you answered no, please list any questions or concerns you may have with the breeder-buy-back contract here.

Are you willing to use a crate for a dog if recommended?

Do you have a fenced yard?

If fenced, please give details on size, material, # of gates, are gates locked or lockable?

How many hours in a day would the puppy be left alone?

What are your plans to exercise your puppy? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility or obedience classes.

Please list 1 veterinary reference and 2 personal references with names, phone numbers, emails and how related. We prefer it not to be all relatives. Are you ok with this?

Vet Reference: Full Name (If you do not have a veterinary reference, please enter N/A in the following boxes)

First NameLast Name

Name of Veterinary Clinic (If you do not have a veterinary clinic yet, please list the name of the clinic you intend to use as your dogs vet)

Phone Number

Area CodePhone Number

Have you notified your veterinary clinic that you are applying for a puppy?

Reference #1: Full Name

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

Reference #2: Full Name

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any North Legacy Labrador adopted by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless North Legacy Labradors and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the dog. I accept full responsibility for the dog(s) actions at all times, and release North Legacy Labradors from any liabilities or damages that may be incurred because of adopting such dog(s). I agree to have North Legacy Labradors complete reference call checks to be able to approve my application.

Date

MonthDayYear

Your name

E-mail