If you are interested in a Birchwood Puppy or
Started Dog, This is where you begin.
PUPPY OR DOG PLACEMENT
QUESTIONNAIRE
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.
"All fields are required in order to submit"

Do not leave blank. Please use N.A, if not applicable.
NAMES:
CELL PHONE:
HOME PHONE:
EMAIL:
WORK PHONE:
ADDRESS,
CITY, STATE
& ZIP CODE
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.
HOW MANY PEOPLE LIVE IN
YOUR HOUSE?
ARE ANY CHILDREN?
WHAT ARE THEIR AGES AND
GENDERS?
HOW DID YOU FIRST LEARN
ABOUT LABRADORS AND WHY
WOULD YOU LIKE TO OWN ONE?
DO YOU HAVE ANY PETS NOW?
IF SO,
HOW MANY &  WHAT ARE THEY?
IF YOU OWN OR HAVE OWNED
DOGS BEFORE, WHAT WERE
THEY LIKE, HOW OR WHERE DID
YOU GET THEM, AND WHAT
HAPPENED TO THEM?
DESCRIBE THE "MOST"
IMPORTANT CHARACTERISTICS
YOU ARE LOOKING FOR IN A
PUPPY/DOG?
DESCRIBE THE "LEAST"
IMPORTANT
WHAT HOBBIES OR ACTIVITIES
DO YOU AND YOUR FAMILY
ENJOY?
COLOR PREFERENCE?
BLACK,YELLOW,CHOCOLATE
MALE OR FEMALE?
DO YOU PLAN TO SPAY/NEUTER
YOUR PUPPY?
IF NO,  WHY NOT?
DO YOU LIVE IN A HOUSE,
CONDO, APARTMENT OR
OTHER?
IF YOU RENT, DOES YOUR
LEASE ALLOW DOGS?
DO YOU HAVE A LETTER OR
PROOF OF PERMISSION?
DO YOU HAVE YOUR OWN
YARD? IS YOUR YARD
COMPLETELY FENCED SO THAT
THE DOG COULD NOT ESCAPE?
IF NOT, WHAT ARRANGEMENTS
WILL YOU MAKE TO KEEP THE
PUPPY/DOG ON YOUR
PROPERTY?
DESCRIBE YOUR STREET, THE
TRAFFIC ON IT &  SPEED LIMIT
DO YOU HAVE A CRATE? IF NOT,
ARE YOU GETTING A CRATE?
WHERE WILL THE PUPPY/DOG
BE WHILE YOU ARE HOME?
WHERE WILL THE PUPPY/DOG
BE KEPT WHILE YOU ARE OUT?
WHERE WILL YOUR PUPPY/DOG
SPEND MOST OF ITS TIME
DURING THE DAY?
WHERE WILL THE DOG SLEEP
AT NIGHT?
IS SOMEONE HOME OR ABLE TO
COME HOME DURING THE DAY?
Name, Address & phone # of your
regular veterinarian
HOW DID YOU GET MY NAME?
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Copyright © 2018 Birchwood.
All rights reserved.
Birchwood Labrador
Retrievers
JoDee
Dexter, Maine
207-717-5227
birchwoodlabs@yahoo.com