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If you are interested in a Birchwood Puppy or
Started Dog, This is where you begin.
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PUPPY OR DOG PLACEMENT
QUESTIONNAIRE
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Our Birchwood puppies should "NEVER" end up in a shelter,
given away, resold, auctioned or raffeled.
We will take them back for the life of the dog, and re-home them if
possible.
Written in our contract is the agreement the puppy/dog will come back to us in the event you
should decide the need to rehome or get rid of your puppy/dog.
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"All fields are required in order to submit"
Do not leave blank. Please use N.A, if not applicable.
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NAMES:
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CELL PHONE:
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HOME PHONE:
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EMAIL:
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WORK PHONE:
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ADDRESS:
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CITY, STATE
& ZIP CODE
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This is NOT a test. There are no right or wrong answers. Please answer thoughtfully .These questions should help you
understand how a puppy or dog may affect your life. your responses will be used to help make the best possible match of
a puppy or dog with your family members, home and lifestyle.
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HOW MANY PEOPLE LIVE IN
YOUR HOUSE?
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ARE ANY CHILDREN?
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WHAT ARE THEIR AGES AND
GENDERS?
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HOW DID YOU FIRST LEARN
ABOUT LABRADORS AND WHY
WOULD YOU LIKE TO OWN ONE?
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DO YOU HAVE ANY PETS NOW?
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IF SO,
HOW MANY & WHAT ARE THEY?
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IF YOU OWN OR HAVE OWNED
DOGS BEFORE, WHAT WERE
THEY LIKE, HOW OR WHERE DID
YOU GET THEM, AND WHAT
HAPPENED TO THEM?
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DESCRIBE THE "MOST"
IMPORTANT CHARACTERISTICS
YOU ARE LOOKING FOR IN A
PUPPY/DOG?
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DESCRIBE THE "LEAST"
IMPORTANT
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WHAT HOBBIES OR ACTIVITIES
DO YOU AND YOUR FAMILY
ENJOY?
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COLOR PREFERENCE?
BLACK,YELLOW,CHOCOLATE
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MALE OR FEMALE?
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DO YOU PLAN TO SPAY/NEUTER
YOUR PUPPY?
IF NO, WHY NOT?
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DO YOU LIVE IN A HOUSE,
CONDO, APARTMENT OR
OTHER?
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IF YOU RENT, DOES YOUR
LEASE ALLOW DOGS?
DO YOU HAVE A LETTER OR
PROOF OF PERMISSION?
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DO YOU HAVE YOUR OWN
YARD? IS YOUR YARD
COMPLETELY FENCED SO THAT
THE DOG COULD NOT ESCAPE?
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IF NOT, WHAT ARRANGEMENTS
WILL YOU MAKE TO KEEP THE
PUPPY/DOG ON YOUR
PROPERTY?
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DESCRIBE YOUR STREET, THE
TRAFFIC ON IT & SPEED LIMIT
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DO YOU HAVE A CRATE? IF NOT,
ARE YOU GETTING A CRATE?
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WHERE WILL THE PUPPY/DOG
BE WHILE YOU ARE HOME?
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WHERE WILL THE PUPPY/DOG
BE KEPT WHILE YOU ARE OUT?
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WHERE WILL YOUR PUPPY/DOG
SPEND MOST OF ITS TIME
DURING THE DAY?
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WHERE WILL THE DOG SLEEP
AT NIGHT?
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IS SOMEONE HOME OR ABLE TO
COME HOME DURING THE DAY?
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Name, Address & phone # of your
regular veterinarian
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HOW DID YOU GET MY NAME?
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Copyright © 2010 Birchwood.
All rights reserved.
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