Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

This application is for: *

Future Puppy

Started Puppy

Older Dog

Guardian Program Dog

Phone

(###)

###

####

Timeframe you would like to get your puppy *

MM

DD

YYYY

Is this your first Labrador *

Yes

No

Color of Labrador I am interested in: *

Select both is no preference

Black

Yellow

Gender of Dog I am interested in: *

Select both if no preference

Female

Male

Energy Level of Dog *

This can also be training intensity

Low

Low to Medium

Medium

Medium to High

High

I have read the puppy information page, availability page, and puppy FAQs page *

Yes

I understand that after placing a deposit that it is not refundable, however can be transferred to a future puppy/litter *

Yes

I understand that altering my dog before the date listed in the Heath Contract, makes it invalid. *

Yes

I understand that the puppy/dog that I receive will be sold on AKC limited registration (without breeding rights) and cannot be registered with another Kennel Club without expressed permission from Brittany Demro. *

Yes