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:___________________________________________________________________________________________________________________