Form Title
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| Date | |
| Name | |
| Address | |
| Phone Number | |
| Email | |
| People in household and ages of children | |
| Other pets in household? | |
| Does anyone in this household smoke? | NO YES |
| Have you ever had a dog? What Kind? | |
| Age and cause of death | |
| Why choose a Labrador? | |
| Do you have a fenced in yard? | |
| Do you own a crate? | |
| Will you do puppy kindergarden? | |
Is anyone home during the day? If not who will take care of the pup when you are not home | |
| Where will the dog sleep? | |
Are you an active "on the go" family or more mellow stay at home. Tell me the family activities. Tell me what your expectations are in this new family member. | |
| What is your color preference | Black Yellow Chocolate No Preference |
| Sex Preference | Male Female No Preference |
| Image Verification |  | |
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