Puppy Application

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

My marital status is:

Spouse's name

Please list your occupation, your spouse’s/partner’s occupation and the number of hours each of you work per day:

Do either you or your spouse travel for work? If yes, who, how often and for how long?

Who will be the primary caretaker?

Our lifestyle is:

Other

If other. Please explain.

Do you rent or own?

If you rent. Please provide landlords name and phone number

Do you have any children. Please list their name, gender and age and if they have any special needs.

Do you currently have any pets? If so please list,species, breeds, ages, fixed or not fixed.

If you currently have a pet/s what is your plan if your current pet and new pet do NOT get along in the future?

Have you had a Chesapeake Bay Retriever before? If no, why are you interested in the breed?

My main reason/s for acquiring a Chesapeake is.

Preferred Sex?

Are you willing to take the opposite sex if it's a better fit for your family?

If no please explain why.

Color

Brown, dead grass, sedge

Personality preferences? ie quiet, rambunctious, birdy)

Do you intend to spay or neuter your puppy?

If Yes, at what age? If NO please explain. (We highly encourage you to NOT spay or neuter until 2yrs of age.)

All puppies are sold on limited registration. (Limited Registration means that the dog is registered but can not be shown conformation and any litters produced by the dog will result in a $5,000 (five thousand dollars) fine and litter is unable to be registered.) Do you understand this?

If you are interested in full registration for showing or breeding, please explain why.

What experience do you have raising/training a puppy?

Do you plan to crate train?

Do you have a fenced in yard?

If no, how do you plan to keep your new puppy in the yard?

Where will the dog spend most of his/her time?

In your home/outside in a dog run ect.

What will the typical day in the life of this puppy/dog be like?

How much time will you have to exercise and interact with your new puppy?

What are your expectations for your new puppy within their first year:

Within his/her lifetime:

Anything else you would like to tell me about yourself.

Please list 2 personal and 1 vet reference with phone, email and relationship for us to contact. Personal 1

Personal 2

Vet

File upload

Please upload a photo of yourself and/or your family if you would like.

Please understand I do NOT do a wait list as first come first served. I choose who will get a puppy based on which home fits each puppy best. Hunting and Performance homes are preferred unless I have a very quiet puppy that fits best in a companion home.