Field and Family Program Application
Shorthairs & Shotguns, LLC.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog Name
Dog Breed
Dog Date of Birth
Where did you get your dog from?
Breeder, rescue, etc.
Why did you choose this dog?
What made you decide on that breeder, that litter, that rescue, etc.?
Do you hunt?
Yes, I hunt
No, but I am interested in learning
No
If yes, what do you hunt?
Have you owned a hunting dog before?
Why are you interested in the Field and Family Program?
*
Please check all that apply:
My dog is potty trained
My dog is crated trained
I use an ecollar with my dog
My dog has had a bird introduction
My dog has had a gun introduction
Please check all that apply:
My dog does not get along well with other dogs
My dog does not get along well with humans
My dog has separation anxiety
My dog is gun sensitive/gun shy
None of the above
What problems do you have with your dog?
What are your short and long term goals with your dog?
Anything else you would like me to know?
What timeframe are you interested in?
November/December
December/January
Are you a Horizon Retriever Patreon Member?
Yes
No
Are you available to meet in Mocksville, NC for a consultation?
Yes
No
Possibly
Do you understand there is limited availability for this program and that not everyone submitting this application will receive a spot?
Yes
No
How did you hear about Shorthairs & Shotguns?
Submit
Should be Empty: