Name*

Street Address*

City, State, Zip*

Phone*

Cell

E-mail*

Nearest MAJOR Airport*

How did you hear about us?*

PREFERENCES

Preferred Gender*
MaleFemaleEither

Preferred Color:*
(List in order of preference. Leave blank if requesting first available.)
Options: Black, Chocolate, Red/Apricot, White, Cream

Preferred Coat Type*
CurlyWavyEither

[radio* receive use_label_element default:0 "Active" "Somewhat Active" "Sedentary"]

Preferred date for receiving your Australian Labradoodle:*
0 - 4 Months4 - 6 Months6 Months - 1 Year

HOUSEHOLD

Do your or your family members have dog related allergies or asthma?*
NoYes

Does your household have children?*
NoYes

If so, age and name(s):

Will your puppy be crate trained?*

Will you be participating in our training program?*

If so, how many weeks?

FAMILY

Family Lifestyle*
ActiveSomewhat ActiveSedentary

Are any family members physically impaired?*

If so, will the puppy be trained for service?

Please sign below to confirm that the above information is accurate.
Swinging Gate Labradoodles has the right to withhold any pup(s) for their breeding program.
The adoption fee for each pup is $3,750 (USD).

Signature*

Date*

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