Mining Camp Kennel, LLC                          

5860 E Mining Camp St                                                             

Apache Junction, AZ  85219

Ph: 480.474.1064 or 480.203.7159

Email:  miningcamplabs@mchsi.com

Puppy Application (for Prospective Owner)

We want to ensure that our puppies are in the best home possible.  Please complete the following questions. 

There are no right or wrong answers, but please answer all the questions honestly.  This information, along with

the temperament test that we give each puppy, will give us the ability to match the right puppy to your family.

Name:______________________________________________________________________________

Address:____________________________________________________________________________

City:______________________________________________State:______________Zip:____________

Res. Phone:_______________________________ Bus. Phone_________________________________

Cell Phone:________________________________ E-Mail:____________________________________

Preferences

I am interested in a Male____female____labrador.

My color preference is black____yellow____.

My color/sex preference is very strong____, I am somewhat flexible____.

The color/sex of the dog are unimportant to me____, I just want a healthy, loving pet.

It will be used for Pet____Show____Breeding____Obedience____other__________________________

Family

Name of Spouse/Companion:____________________________________________________________

Names and Ages of Children:____________________________________________________________

____________________________________________________________________________________

Is there anyone else who will be living with the dog?__________________________________________

Pet Ownership Experience

Have you previously owned a dog?_________________

Have you previously owned this breed?_______________

If yes, please provide the following for each dog you have owned (attach list, if necessary)

Breed (or predominate breed if mixed)_____________________________________________________

How obtained (purchased, found, given as a gift, adopted, etc)__________________________________

Age when obtained__________

What happened to the dog (sold, given to others, lost, died--include cause of death

What animals do you currently own?_______________________________________________________

Do you breed dogs now, or have you had experience breeding dogs?_____________________________

Which of the following best fits the primary reason(s) you would like to have a dog?  If you mark more than one,

please put a 1 by the most important and a 2 by the next most important, etc.

__for spouse

__for children

__for other pet

__companion

__attack/protection

__guard dog

__breeding

__hunting dog

__conformation showing

__obedience showing

__tracking

__agility trials

__therapy work

What specifically attracted you to this breed?  How did you become interested in owning one?

____________________________________________________________________________________

____________________________________________________________________________________

Facilities and Care

Your occupation:______________________________________________________________________

Work Schedule:_______________________________________________________________________

Typical hours per week:_________________________________________________________________

Occupation of Spouse/Companion:________________________________________________________

Work Schedule:_______________________________________________________________________

Typical hours per week:_________________________________________________________________

How many hours per day would the dog be left alone?_________________________________________

Who will be the primary caretaker of the dog?_______________________________________________

Do you own your own home?____________________________________________________________

If renting, do you have landlord’s permission to have a dog?____________________________________

The dog would spend most of its time outside_____inside_____the home?

The dog’s sleeping quarters would be outside_____inside_____the home?

Description of outdoor space for the dog:

Fenced yard (type of fence)___________                         Walking Trails nearby_______________

Unfenced yard____________                                                      Parks nearby____________

Kennel run____________                                                            Pool________________

Open fields__________                                                              Garage____________

How will your dog be transported?________________________________________________________

How will you exercise your dog?__________________________________________________________

What type of a family do you have?  Active______Average_____Inactive______

Are there activities your family does which could include the dog?  If so, please list.

____________________________________________________________________________________

What type of temperament would you like the puppy to have (select one below and explain why)?

Active & why_________________________________________________________________________

Moderate & why_______________________________________________________________________

Laid back & why_______________________________________________________________________

Size and Weight of adult dog_____________________________________________________________

Additional Information

When you travel, would you normally travel with the dog?______________________________________

What arrangements would you make for the care of the dog when it is unable to go with you?

____________________________________________________________________________________

Do you plan to feed your puppy the Prey Model Diet as outlined by breeder?_______________________

Do you understand that the two year money back health guarantee will not be honored unless you follow

the prescribed diet and give no or minimal vaccines? _________________________________________

Please consider what you would do with your dog if any of the following situations were to happen to you:

Divorce              Move                 New baby                      Loss of job                    Serious Illness

Are you willing to sign an agreement to bring the dog back to the breeder if you are unable or don’t want to

care for the dog anymore?____________________________________________________

Are you willing to sign a Non-Breeding or a Co-Owner agreement?______________________________

Were you referred to this breeder by anyone?  If yes, please list name: __________________________

Veterinarian name and phone:_________________________________________________________

As a responsible Labrador Retriever breeder, we complete a temperament test on all of our puppies during the sixth week of age. 

The purpose of the temperament test and this questionnaire is to establish a basis for matching a puppy of the correct temperament

 for you and your family.  During your visits with us, you may see a puppy you like.  Please be aware that we cannot guarantee that

 your choice of puppy will be the same puppy that best fits the temperament you requested until after completion of the temperament tests.

List any other comments or conditions the breeder should be aware of and/or included in the contract?

Signature:___________________________________________Date:_____________________

(Please return as soon as possible to Mining Camp Labradors, address on first page.)