Jump N Jive Puppy Application
Your Name
Prefix
First
Last
Suffix
Spouse Name
Prefix
First
Last
Suffix
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Home Phone
Alternate Phone
Email
Occupation
Spouse Occupation
Children (including ages)
Other People living in your home
Other animals you currently own
Are you willing to spay neuter?
 Yes  
 No 
Have you owned a Lab before?
 Yes  
 No 
Why would you like to own a Labrador?
Please tell us about the dogs you have owned.
Have you ever euthanized an animal? If so, please explain?
What gender are you looking for?
 Male 
 Female 
 Flexible 
What color are you looking for?
 Black 
 Yellow 
 Chocolate 
 Flexible 
What purpose are you looking for? (Please check all that apply.)
 Companion 
 Show  
 Obedience / Agility  
 Hunting 
 Therapy 
Describe the personality you are looking for.
Do you own or rent your home?
 Own 
 Rent 
Do you have a fenced in yard?
 Yes  
 No 
If not, are you willing to fence in your yard?
 Yes  
 No 
Where will your dog sleep?
Where will your dog stay when you are out of the home?
Do you plan on attending Puppy Classes or what is your plan for training and socializing your puppy?
What is your plan for house breaking?
Which litter are you interested in?
Where did you hear about Jump N Jive Labradors?
 General Web Search 
 Newspaper Ad 
 Dog Club 
 Friend (Please specify who below) 
 Other (Please specify below) 
More info, questions....
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