New Customer Registration Form

Customer Details:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
How did you hear about us ?
Do you have any other dogs? If so, how many and what breeds?
Why are you considering a Labrador Retriever?
Where will the puppy be kept during the night?
Where will the puppy be kept during the day?
How many hours on average will the puppy be left alone?
Do you have any children at home? If so, what are their ages?
Do you have a fenced in yard or a suitable kennel area?
Have you ever trained a dog before?
Have you ever given a puppy away? If so, what were the circumstances?
Are you planning to spay or neuter your puppy?
Will you be willing to recommend us?
Should be Empty: