Upcoming Litters

Name(s)

Email Address

Address

Home Phone Number

Mobile Number

How did you learn about flat-coated retrievers?

What made you decide to purchase a flat-coated retriever?

Have you owned dogs before? Have you owned dogs before? Yes No

If yes, what breed(s)?

What became of that/those dog/dogs?

Animals currently in household? (Please give species, breed, and age)

Which of the following are you interested in? Which of the following are you interested in? Companion dog only Hunting companion Show: conformation Show: obedience Show: tracking Show: agility Show: hunting tests Show: field trials Breeding Other

Interests Other

Which of the following have you participated in previously? Which of the following have you participated in previously? Hunting Show: conformation Show: obedience Show: tracking Show: agility Show: hunting tests Show: field trials Breeding Other

Interests Other

What type of dog are you looking for? What type of dog are you looking for? Either dog or bitch – no preference Dog preferably, but would consider a bitch Dog definitely, would not consider a bitch Bitch preferably, but would consider a dog Bitch definitely, would not consider a dog

Do you have children living at home or visiting frequently? Do you have children living at home or visiting frequently? Yes No

Ages of children:

Will the animal be spayed/neutered? Will the animal be spayed/neutered? Yes No

If not, why not?

Type of Home Type of Home Single family - city Single family - rural Multiple family - city Apartment Single family - suburban Single family - rural with acreage Multiple family - suburban

Do you have a fenced yard? Do you have a fenced yard? Yes No

Who will be the main caretaker of the dog?

Where will the dog stay during the day?

Where will the dog stay at night?

How many daytime hours do you plan to spend with the dog? (Give # hours or times)

Reference_contacts_(names_and_phone_#s):

Please feel free to add any other information that you think is relevant (including photos of house, pets, you, whatever...).