Welcome to
Black Rock Labradors
Potential Puppy - Client Information
Thank You for your interest in Black Rock Labradors.
After completing the form (copy & paste) then send to BRlabslitters@aol.com
The information that you provide will assist us in selecting the puppy most suited for you and your family.
All information provided will remain CONFIDENTIAL with the owners of Black Rock Labradors.
Push down the left mouse button and scroll to the bottom of the page, until all below is highlighted, then push down the right mouse button, then select copy, then once you start the text area of your e-mail to us then hit your right mouse button again and select paste to transfer all the puppy application questions in your e-mail.
Be sure to complete all the questions.
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1. Your name:
2. Your mailing address:
3. City:
4. State:
5. Zip code:
6. Your e-mail:
7. Home telephone and/or cell phone:
8. Work telephone:
9. Most convenient time to reach you:
10.What time frame are you wanting a puppy?
11. Were you referred by another breeder, if so who:
12. Do you have any children, if so how many and ages:
13. Does anyone in your family have allergies to animals:
14. Where do you currently live, country or city, if city any acreage:
15. Is your property fenced in:
16. If no fenced in yard, how do you plan to contain your Lab:
17. Does anyone stay at home or do you work during the day:
18. Where would you keep the puppy during the day and night:
19. Have you ever owned any dogs before and if so what kind:
20. Have you ever owned a Labrador Retriever, if so what type and for what purpose:
21. What other pets do you own that would be sharing your home or property with your Lab:
22a.. Describe your occupation, lifestyle and your hobbies:
22b. If you are a runner, at what age do you plan on jogging/running with your puppy?):
23. What will you be using your Lab for (Companion, show, obedience, therapy/service, agility, hunting, breeding, drug detection):
24. If interested in a puppy for AKC conformation, hunt test or obedience, please describe your experiences & any AKC titles you have acquired on your breed:
25. What color (Black, Yellow or Chocolate) & sex (Male or Female) do you prefer - See below:
26. 1st choice (sex & color):
27. 2nd Choice (sex & color):
28. We (Black Rock Labradors) no longer ship/fly puppies.
How do you plan to pick up your puppy?: Drive to our residence from your home or fly into the Indianapolis Airport and then drive to our residence to pick up your puppy and fly back home:
29. If Black Rock Labradors DO NOT have any puppies in the color or sex that you have requested, can (We - Black Rock Labradors) forward your application to another Labrador Retriever breeder that may be able to help you find a puppy.
Yes_____ or No______?
Summary:
Why do you feel you would be able to provide the perfect home for a Black Rock Lab pup:
E-mail form to: BRlabslitters@aol.com
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Special Note: I generally do not use waiting list, until the litter has been confirmed. I only accept deposits once the litter has been confirmed. It is always a great idea to follow up by e-mail or phone call about 2 weeks prior to the estimated delivery date.
Thank You for completing our application process.
Completion of the puppy client information form does not guarantee a future puppy.
Dale Brummett
Home: Black Rock Labs
Updated 4/5/12 at 11:15 p.m.