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Bohemia Puppy Interest Form
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Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Puppy Preference
Male Only
Male Preferred - but open to a Female
Female Only
Female Preferred - but open to a Male
No Preference
Other:
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Do you Rent or Own your home?
Rent
Own
Clear selection
How long have you been living at this current address?
Your answer
Are there children under 18 years of age in your household?
Yes
No
Clear selection
If so, please indicate their names and ages
Your answer
Who will be the primary caregiver for the puppy?
Your answer
Have you ever owned a dog before?
Yes
No, this is my first dog
Clear selection
If yes, what breeds?
Your answer
Have you ever owned a Chesapeake Bay Retriever before?
Yes
No
Clear selection
Please list all pets currently living in your home:
Your answer
What interests you most about Chesapeakes as a breed? What do you find most appealing and why is a Chessie right for you?
Your answer
Do you have an existing relationship with a veterinarian?
Yes
No
Clear selection
Name of Veterinarian
Your answer
Name of Veterinary Clinic & Location
Your answer
Will your dog primarily be an Indoor or Outdoor Dog?
Indoor
Outdoor
Clear selection
If outdoor, what type of shelter/living space will the dog be provided with?
Your answer
Do you have a fenced yard?
Yes
No
Clear selection
If no, how will you provide exercise for your dog?
Your answer
Are there times during the day in which no one is at home?
Yes
No
Clear selection
If yes, on average, how many hours per day will your dog be left alone?
Your answer
Where will your dog stay while you are gone?
Your answer
Where will your dog sleep at night?
Your answer
Are you opposed to crates or crate training?
Yes
No
Clear selection
Have you ever housebroken a puppy before?
Yes
No
Clear selection
Do you plan to enroll your puppy in obedience classes?
Yes
No
Clear selection
How would you describe your lifestyle?
Highly Active
Active
Homebody
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Are you interested in competing in any activities with your dog? (Check all that apply)
No, I am just looking for a companion
Conformation Showing
Hunting
Obedience/Rally
Performance Events (Agility, Dock Diving, FlyBall, etc)
Which, if any, competitive dog activities do you have experience with?
Your answer
Are you interested in showing this dog in dogs show competition?
Yes
No
Possibly
Clear selection
Have you ever shown a dog before?
Yes
No
Clear selection
Do you intend to breed this dog?
Yes
No
Clear selection
Do you understand the difference between a Limited Registration and a Full Registration?
Yes
No, I need more information
Clear selection
What are you most looking to get out of sharing your life with a Chesapeake Bay Retriever?
Your answer
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