We appreciate you taking the time to complete and return the following questionnaire. Detailed
information regarding your lifestyle and experience with dogs helps us in selecting the right puppy
for you and your family. Please copy and paste into your e-mail account to send to us. If you would
rather send by mail please contact us by phone or e-mail for our address information. By filling out
this application/questionnaire you are not guaranteed a puppy until we have notified you of
approval. You may also be asked to give a $200 non-refundable deposit to reserve a puppy toward
an upcoming litter. Deposits will be refunded if we do not have a puppy that meets your family's
needs.
Name(s):____________________________________________________
Street Address:________________________________________________________________________
Mailing Address: _______________________________________________City: ___________________
State: ___ Zip Code: ___________ Phone: (H) _______________ (W)______________ (C)______________
Fax: (H) ______________ (W) ___________________E-Mail: (H) ________________ (W) ____________
What do you know about Labradors/Bullmastiffs and what attracts you to the breed?
Have you ever owned a dog before? Yes_____No_____Breed(s)
Have you ever had to get rid of one of your pets before? Why? What happened to your pet?
Do the other members of your family also want to get a puppy?
What other types of animals live in your house?
Have you ever had a dog that died or had a significant health issue?
Have you ever had to put an animal to sleep? If yes, why?
What is the most important reason(s) for purchasing a Labrador/Bullmastiff (check all that apply):
family companion ___ show dog ___ breeding _____ obedience competition ____tracking____ hunting_____
agility / fly ball competition____ pet therapy_____ a dog for the kids ____other____________
Have you taken obedience or puppy kindergarten classes with a puppy/dog before? Where?
Do you plan on taking an obedience or puppy class with your new Labrador puppy?
Do you prefer a male or female puppy/dog? Are you willing to spay/neuter this puppy?
Do you have a color preference ?
If you move, what will happen to this puppy/dog?
Do you believe in using dog crates? Yes ___ No____ Why?
How will you feed this puppy/dog? Free Choice Once a Day Twice A Day
Family Profile:
Please circle: Married Single Divorced Separated Widowed Live w/ parent or relative Live w/ other
Your age: Occupation
Spouse/Partner’s age: Occupation
Who will get this dog in case of divorce or breakup of relationship?
Number of children in household and/or who visit on a regular basis: Ages:
Have these kids been exposed to dogs before? Explain.
If you don't currently have children, are you planning to start a family in the future?
Please circle the type of area you live in: City Suburb Subdivision Country
Are there covenants, ordinances or other restrictions regarding dogs in your area? If yes, explain.
Do you own your own home?
Would you object to sending photos of your home and property?
If you rent, do you have written permission from your landlord to have a medium to large size dog?
Would you mind if we contact your landlord?
Name: ______________________________________________________________________
Address: ______________________________________________ Phone: ___________________
Will the puppy/dog be kept: Inside____Outside____In yard____Loose____Kennel Run______Garage_____
Basement____Other __________________________________________________________________
Is your yard fenced? Yes____No____ Fence type and height_______________________________
If you do not have a fenced yard, where and how will the dog be exercised and be allowed to eliminate?
Do you have a swimming pool? If yes, it is fenced in?
Do you have a deck? How high off of the ground is it? Railing?
Do you have a lot of stairs in the house? Will the puppy be required to use the stairs daily?
Would you object to sending photos of your home and property?
Where will the puppy/dog sleep at night?
Where will the puppy/dog be kept when there is no one at home?
How many hours each day will your puppy be alone while you are at work?
Who will have the major responsibility to care for your puppy/dog?
What will you do if the puppy/dog barks excessively?
Do you have experience house breaking a puppy?
Do you have a current veterinarian? How long have you used this veterinarian?
Name/Business Name: __________________________________________________________
Address: _____________________________________________________________________
City: __________________________________ State: ____ Phone:_________________________
Please list two references (no family members please):
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City/State ________________________________ Phone: __________________________________
E-mail: _____________________________________ Years Known: _____________________________
------------------------------------------------------------------------------------------------------------------------------------------
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City/State ________________________________ Phone: __________________________________
E-mail: _____________________________________ Years Known: _____________________________
Please add other information that would be helpful in placing a puppy with you:
Thank you for your interest in Serapic's English Labrador Retrievers and Bullmastiffs
information regarding your lifestyle and experience with dogs helps us in selecting the right puppy
for you and your family. Please copy and paste into your e-mail account to send to us. If you would
rather send by mail please contact us by phone or e-mail for our address information. By filling out
this application/questionnaire you are not guaranteed a puppy until we have notified you of
approval. You may also be asked to give a $200 non-refundable deposit to reserve a puppy toward
an upcoming litter. Deposits will be refunded if we do not have a puppy that meets your family's
needs.
Name(s):____________________________________________________
Street Address:________________________________________________________________________
Mailing Address: _______________________________________________City: ___________________
State: ___ Zip Code: ___________ Phone: (H) _______________ (W)______________ (C)______________
Fax: (H) ______________ (W) ___________________E-Mail: (H) ________________ (W) ____________
What do you know about Labradors/Bullmastiffs and what attracts you to the breed?
Have you ever owned a dog before? Yes_____No_____Breed(s)
Have you ever had to get rid of one of your pets before? Why? What happened to your pet?
Do the other members of your family also want to get a puppy?
What other types of animals live in your house?
Have you ever had a dog that died or had a significant health issue?
Have you ever had to put an animal to sleep? If yes, why?
What is the most important reason(s) for purchasing a Labrador/Bullmastiff (check all that apply):
family companion ___ show dog ___ breeding _____ obedience competition ____tracking____ hunting_____
agility / fly ball competition____ pet therapy_____ a dog for the kids ____other____________
Have you taken obedience or puppy kindergarten classes with a puppy/dog before? Where?
Do you plan on taking an obedience or puppy class with your new Labrador puppy?
Do you prefer a male or female puppy/dog? Are you willing to spay/neuter this puppy?
Do you have a color preference ?
If you move, what will happen to this puppy/dog?
Do you believe in using dog crates? Yes ___ No____ Why?
How will you feed this puppy/dog? Free Choice Once a Day Twice A Day
Family Profile:
Please circle: Married Single Divorced Separated Widowed Live w/ parent or relative Live w/ other
Your age: Occupation
Spouse/Partner’s age: Occupation
Who will get this dog in case of divorce or breakup of relationship?
Number of children in household and/or who visit on a regular basis: Ages:
Have these kids been exposed to dogs before? Explain.
If you don't currently have children, are you planning to start a family in the future?
Please circle the type of area you live in: City Suburb Subdivision Country
Are there covenants, ordinances or other restrictions regarding dogs in your area? If yes, explain.
Do you own your own home?
Would you object to sending photos of your home and property?
If you rent, do you have written permission from your landlord to have a medium to large size dog?
Would you mind if we contact your landlord?
Name: ______________________________________________________________________
Address: ______________________________________________ Phone: ___________________
Will the puppy/dog be kept: Inside____Outside____In yard____Loose____Kennel Run______Garage_____
Basement____Other __________________________________________________________________
Is your yard fenced? Yes____No____ Fence type and height_______________________________
If you do not have a fenced yard, where and how will the dog be exercised and be allowed to eliminate?
Do you have a swimming pool? If yes, it is fenced in?
Do you have a deck? How high off of the ground is it? Railing?
Do you have a lot of stairs in the house? Will the puppy be required to use the stairs daily?
Would you object to sending photos of your home and property?
Where will the puppy/dog sleep at night?
Where will the puppy/dog be kept when there is no one at home?
How many hours each day will your puppy be alone while you are at work?
Who will have the major responsibility to care for your puppy/dog?
What will you do if the puppy/dog barks excessively?
Do you have experience house breaking a puppy?
Do you have a current veterinarian? How long have you used this veterinarian?
Name/Business Name: __________________________________________________________
Address: _____________________________________________________________________
City: __________________________________ State: ____ Phone:_________________________
Please list two references (no family members please):
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City/State ________________________________ Phone: __________________________________
E-mail: _____________________________________ Years Known: _____________________________
------------------------------------------------------------------------------------------------------------------------------------------
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City/State ________________________________ Phone: __________________________________
E-mail: _____________________________________ Years Known: _____________________________
Please add other information that would be helpful in placing a puppy with you:
Thank you for your interest in Serapic's English Labrador Retrievers and Bullmastiffs
| Serapic's Puppy Questionnaire |
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