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* 1. Please Provide Your Full Name

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* 2. How did you hear about Bartlett Farms?

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* 3. Have you ever had to re-home a dog in the past?

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* 4. If response to #3 was "Yes", please answer the following.

**If response was "No", please put "n/a".

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* 5. Do you have any other pets?

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* 6. If response to #5 was "Yes", please answer the following.

**If response was "No", please put "n/a"

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* 7. Are you currently employeed?

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* 8. Are you able to to afford the cost of emergency vet bills if the circumstance arises?

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* 9. Will this be an inside or outside puppy?

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* 10. Will the puppy have a backyard or be taken on frequent walks for adequate exercise?

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* 11. Are you okay with this puppy being spayed or neutered at the appropriate age? (Appropriate age is determined by your vet)

**"Spay/Neuter Contract" signed at pickup**

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* 12. Do you understand what "Limited Registration" means?

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* 13. Do you own or rent your home?

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* 14. If you answered "Rent" to #13, are you able to provide us with the appropriate documentation stating you are able to have a dog of this size and nature in the house/apartment?

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* 15. Do you or anyone in your home have any health concerns that may impact the health and/or happiness of the puppy?

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* 16. Are there any kids in the household?

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* 17. If you answered "Yes" to #16, please answer the following.

**If response was "No", please put "n/a"

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* 18. Have you ever owned a Labrador Retriever before?

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* 19. What City and State do you live in?

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* 20. Please provide a phone number

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