Lick Creek Retrievers – Questionnaire

PUPPY ADOPTION QUESTIONNAIRE

Lick Creek Retrievers
923 Lick Creek Road
Ceres VA 24318
(276) 624-3479

Please fill out the form below. Once we receive your completed questionnaire form, we will contact you to discuss the best puppy for you. A deposit of $300 is required to hold your puppy.

Thank you for your interest in a Lick Creek puppy!
Sincerely, Mike & Lisa Vencille

We respect your privacy and we do not sell your information, at all. We use this form for LCR puppy adoption purposes only.

Name:

Address:

City, state, zip:

Email:

Phone:

Number of family members:

Ages of children:

How many family members are home during the day?

If no one, who will care for the puppy during the day?

Where will the puppy/dog sleep?

Do you own or rent?

How long have you lived at current residence?

How big is your yard?

Is it fenced?

If so, what type of fence do you have?

Why do you want a dog?

Who will be responsible for training the dog?

Do you plan to have the dog trained professionally?

Do you plan to have your dog spayed/neutered?

What happened to your last dog?

How many other pets do you currently have?

What kind of pets and how old are they?

Who is your current veterinarian? include name and phone number

If your puppy swallowed a sock and the veterinarian advised you it would cost $1200 to remove the sock, what would you do?

Have you trained any dogs to achieve titles? if so, which titles?

What hobbies do you have?

How many hours a week do you plan to spend with your dog?

Are you planning to move in the near future? (ie. 5 years or less)

Where will your dog stay when you go on vacation?

Owning a dog is a serious commitment, are you prepared to make this commitment for the next 14 years?

Do you plan to use the dog for hunting?

What kind of hunting do you do?

How often do you hunt?

Will you run your dog in any hunt tests and/or field trials?

Who will train your dog for these events?

Do you plan to send your puppy back for puppy and/or advanced training to lick creek retrievers?

Will you want your puppy shipped to you?

What is the nearest large airport to you?

Are you interested in a male or female puppy?

Please list your color preference? black or yellow - doesn't matter

Are you human?(required)

This field should be left blank

Please wait...