BrookHill Puppy Questionnaire
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You will know the information you provide is submitted when you see the words "THANK YOU-SUBMITTED"

Use this form if you wish to reserve a puppy. '*' denotes required field - but we hope you will complete all of them!
If you just have a question or want to arrange a visit, please send us an email! Thanks!!
*First Name:
Last Name:
First Name 2:
Last Name 2:
City:
State:
*Email Address:
Contact Phone Number:
Children ages:
*Desired Gender:
Male Female Either
*Desired Color:
Black Yellow Either
Hours alone each day:
Home alone:
When you are home:
Sleeping:
Exercise:
Is your yard fenced: Fenced Not fenced No Yard
Desired characteristics:
Why a Labrador:
Other pets:
Prior Dogs:
*Have you read our Puppy Agreement?
Yes No
Comments or Questions:

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