Puppy Pre-Application - Lagotto Lady Kennels

Lagotto Lady Kennels, LLC
28768 Olympic Trail, Lindstrom, MN 55045
Phone: 612.839.1137 Fax: 651.257.1562
eMail: [email protected]
PRE-PURCHASE AGREEMENT
The Purpose of this Form: To ask questions to help you and Lagotto Lady Kennels (LLK) decide if a Lagotto Romagnolo is right for you and information that
helps us match a pup to your needs/wants. Upon receiving this application we will be in touch with you through email or phone. Please add anything to this
application that will help us determine what you are looking for.
The Puppy Purchase Process: Please send us this completed questionnaire, to ensure being added to the “Puppy List”. Lagotto Lady Kennels requires a
deposit after the litter is confirmed. This deposit will hold a puppy for you. The purchase price for a puppy is $2950.00, with Spay/Neuter agreement. Your
deposit will apply towards the purchase. Show/Breed Quality puppy purchase price is $4,200.00. Full payment is required no less than 14 days prior to the
puppy being shipped, or picked up. Shipping your pup is NOT INCLUDED in the purchase price, LLK can work with you to make travel arrangements.
Today’s Date: __________________________________________________________________________________________________________
Name: ________________________________________________________________________________________________________________
Address: _____________________________________________________________________________________________________________
City: _ _________________________________________________________________ Province or State: ________________________________
Area Code or Zip: _ ______________________________________________________ Country: ________________________________________
Phone: _ _______________________________________________________________ Email:__________________________________________
Please check or write your answer with as much information as possible.
1. I would like a:
Male
Female
Either
2. I would like a specific color (note: colors can change as the dog matures):  Yes  No
Desired Color______________________________________________
3. I would like a PET ONLY puppy and plan to spay/neuter:
4. I am interested in training my dog in:
Detection
Obedience
7. Doy you:
Agility
No
Search & Rescue
Truffling
Hunting
Service or Other: ______________________________________________________________________________
5. In what type of housing do you reside?
6. Do you live:
Yes
In town
Own
Apt/Condo
In the country
Town-house
Single Family
Other
On a farm/ranch...How many acres?_________
Rent
8. Do you have a fenced yard suitable for dogs?
Yes
No
9. My household consists of: ______Adults ______Children ______Dog(s) ______Cat(s) ______Birds ______Other
My children’s ages are: _________________________________________________ Adult ages:__________
PRE-PURCHASE AGREEMENT CONTINUED
10. I have owned dogs in the past years.
Yes
No
11. Please list the breed(s) you have owned:__________________________________________________________________________
12. Does anyone in the household have allergies?
Yes
No
If yes, what type?_______________________________
(Note: although many with allergies do well with the Lagotto, there are no guarantees that allergy sufferers will not be
affected. Potential owners should meet a Lagotto before making a final decision).
13. The temperament I expect from my dog is:________________________________________
14. Who in the household will have the major responsibility for the dog?________________________________________
15. How many hours a day would the dog normally be left alone?________________________________________
16. Do you agree to return your Lagotto Romagnolo to us if you are unable to keep it?
Yes
No
17. Are you willing to keep the dog up-to-date on all shots & necessary tests if indicated by your Veterinarian?
18. Are you willing to have your dog seen by a vet at least once a year?
Yes
Yes
No
No
19. A
re you willing to have the dog’s hips x-rayed (PennHip or OFA) at appropriate age (each differs)
and provide us with the report?
Yes
No
20. Who is your Veterinarian?_ ________________________________________________________________ Phone_ ____________________________
21. Are you willing to license the dog and keep it properly identified?
22. Are you willing to provide us with follow up reports as needed?
Yes
Yes
No
No
23. Please list 2 references Please include complete name, address and phone number.
a. ______________________________________________________________________________________________________________________
b. _ ____________________________________________________________________________________________________________________
24. Although we prefer you to come and pick up your puppy, we realize that may not be possible. Please let us know, if shipping your pup, which airports
are closest to you:____________________________________________________________________
LL Kennels uses Goldwood Kennels for dogs shipping. For pricing and arrangements, Contact www.goldwoodkennels.com
25. List any other specifics with regards to what you are looking for in a Lagotto:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
By signing this application, I (we) authorize the Veterinarian listed on this application to release information to Lagotto Lady
Applicant’s Name:_ _______________________________________________________________________________________________________
Date:___________________________________________________________________________________________________________________