#1

APPLICANT NAME (Must be at least 18 years old)*

#2

DATE*

#3

CO-APPLICANT NAME*

#4

BEST PHONE*

#5

EMAIL ADDRESS*

#6

STREET ADDRESS, CITY, STATE, ZIP*

#7

WHO LIVES IN YOUR HOME? INCLUDE NAMES, AGES, RELATIONSHIPS, AND LIKELY ROLES WITH THE DOG.*

#8

HOUSEHOLD READINESS*

#9

Household Readiness Explanation

#10

ALLERGIES, MOBILITY OR ACCESSIBILITY NEEDS, SENSORY CONSIDERATIONS, FEARS, OR OTHER HOUSEHOLD FACTORS*

#11

HOME TYPE*

#12

Home Type Explanation

#13

HOUSING STATUS*

#14

Yard / Exercise Area*

#15

Fencing*

#16

WHERE WILL THE PUPPY SPEND MOST OF THE DAY, SLEEP, AND STAY WHEN HOME ALONE?*

#17

TYPICAL TIME ALONE*

#18

Typical Time Alone Explanation

#19

DESCRIBE A NORMAL WEEKDAY AND WEEKEND, INCLUDING WORK, SCHOOL, CHILDCARE, TRAVEL, SEASONAL DEMANDS, AND EXPECTED CHANGES.*

#20

CURRENT ANIMALS: SPECIES/BREED, AGE, SEX, TEMPERAMENT, ALTERED STATUS, HEALTH, AND RELATIONSHIPS*

#21

DOGS YOU HAVE LOVED, TRAINED, WORKED WITH, OR STRUGGLED WITH. WHAT DID THOSE DOGS TEACH YOU?*

#22

YOUR CURRENT EXPERIENCE*

#23

Current Experience Explanation

#24

TRAINING & SUPPORT*

#25

Training & Support Explanation

#26

DESCRIBE YOUR TRAINING PHILOSOPHY, GOALS, AVAILABLE HELP, AND RESPONSE WHEN TRAINING DOES NOT GO AS PLANNED.*

#27

INTENDED ROLE(S)*

#28

Intended Role(s) Explanation

#29

WHICH ROLE IS THE PRIORITY? DESCRIBE THE WORK, ENVIRONMENT, EXPECTATIONS, AND WHAT SUCCESS WOULD LOOK LIKE.*

#30

FOR SERVICE OR THERAPY GOALS: PROGRAM, TRAINER, TIMELINE, TASKS OR SETTING, ACCESSIBILITY, CERTIFICATION, OR NON-NEGOTIABLE REQUIREMENTS*

#31

TRAITS THAT MAY FIT YOUR LIFE*

#32

Traits Explanation

#33

DESCRIBE YOUR IDEAL DOG IN REAL-LIFE TERMS, INCLUDING ENERGY, SOCIAL STYLE, TRAINABILITY, AND DAILY LIFE.*

#34

WHICH TRAITS, BEHAVIORS, OR ENERGY LEVELS WOULD BE DIFFICULT OR UNSUITABLE?*

#35

WHAT MADE A DOG YOU ADMIRED OR LOVED SPECIAL?*

#36

SEX PREFERENCE*

#37

Sex Preference Explanation

#38

COLOR / SHADE PREFERENCE*

#39

Color/Shade Preference Explanation

#40

SPECIFIC LITTER, SIRE/DAM, TIMING, OR OTHER PREFERENCES - AND WHY THESE MATTER TO YOU*

#41

I understand that specific preferences may extend my wait for the right match.*

#42

I understand that placement also considers temperament, structure, drive, energy, health, purpose, and breeder observation.*

#43

CURRENT OR PLANNED VETERINARIAN / CLINIC*

#44

CITY / STATE / PHONE*

#45

PERSONAL, TRAINER, BREEDER, LANDLORD, OR OTHER REFERENCES (NAME, RELATIONSHIP, PHONE/EMAIL)*

#46

OPTIONAL SUPPORTING PHOTOS

#47

LIST ATTACHED FILE NAMES, LINKS, OR NOTES ABOUT WHAT THE PHOTOS SHOW

#48

WHY ARE YOU LOOKING FOR A PUPPY NOW?*

#49

TELL US ABOUT THE LIFE YOU HOPE TO CREATE WITH YOUR FUTURE DOG.*

#50

FIVE YEARS FROM NOW, WHAT WOULD MAKE YOU SAY THIS WAS THE RIGHT MATCH?*

#51

WHAT ELSE SHOULD WE UNDERSTAND ABOUT YOUR FAMILY, GOALS, OR READINESS?*

#52

I understand that submitting this application, photographs, references, or a deposit does not guarantee approval or placement.*

#53

I understand that breeder observation, temperament testing, structural evaluation, health, household fit, and intended purpose may guide placement.*

#54

I understand that evaluation is a snapshot, not a guarantee of health, temperament, working ability, title, certification, or future outcome.*

#55

I agree to provide accurate information and promptly communicate significant changes before placement.*

#56

I understand that a puppy is a lifelong commitment and that The Captain's Labradors or Dal-Rhé Goldens should be contacted if I can no longer keep the dog.*

#57

APPLICANT TYPED LEGAL NAME / SIGNATURE*

#58

DATE (Applicant)*

#59

CO-APPLICANT TYPED LEGAL NAME / SIGNATURE*

#60

DATE (Co-Applicant)*

#61

APPLICANT / FAMILY AND LITTER*

#62

STATUS / FOLLOW-UP DATE*

#63

PRIMARY INTENDED ROLE, OBSERVATIONS, MATCH STRENGTHS, POSSIBLE CHALLENGES, ACCOMMODATIONS, AND RECOMMENDATION*