Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Puppy Gender Preference:

Male

Female

No Preference

Preferred Size

Small Miniatur (10 - 15lbs)

Miniature (15 - 25lbs)

Small Medium (27 - 35lbs)

Medium (35 - 45lbs)

Preferred Coat Color

Red

Apricot

Brown/Chocolate

Black

Party Color

No Preference

Preferred Coat Type

Curly Fleece

Wavy Fleece

Wooly Fleece

Hair

No Preference

Does anyone in the house have allergies?

Yes

No

Are there children in the house?

Yes

No

Do you currently have any other pets/dogs?

Yes

No

Have you raised a puppy before?

Yes

No

How would you describe your current lifestyle?

Sedentary lifestyle

Mixed: sedentary and active

Active lifestyle

Do you have a fenced yard?

Yes

No

Do you work outside the home?

Yes

No

If you work outside the home, will someone be able to provide the puppy with a midday potty break and indoor/outdoor activity?

Yes

No

Will you be taking your puppy to obedience/socialization classes?

Yes

No

Please check the box to acknowledge that you understand the $500.00 reservation fee is non-refundable. If there are not enough puppies to fill all requests, you will be contacted after the arrival of the litter. Your reservation can then be put at the top of the waiting list for the next available litter. Kents Hill Labradoodles reserves the right to keep first pick male and female puppies for future breeding, service, and therapy dogs. *

Yes

Approximate Adoption Date *

MM

DD

YYYY