Please complete the following Puppy Questionnaire and email it to [email protected]

Name:

Address:

Contact information:

What do you want this puppy for? ( Circle all that apply)

Pet/companion Conformation/Show Obedience Hunting Field Trails/hunt tests, Pet Therapy Breeding

Agility

If for Breeding, are you willing to work with the breeder? Yes No

Sex preferred: Male Female

Color Preferred: Brown Deadgrass Sedge No Preference

How soon are you looking for a puppy?

Is this your first Chesapeake? Yes No If yes, what other breeds have you had? Have?

To what level are you willing to train your dog? Puppy Kindergarten Beginners Obedience Advanced Obedience

Will the puppy be provided with a : fenced yard Kennel Run other means of daily exercise

Where will the puppy be during the day?

Where will the puppy be at night?

Do you plan to crate train your puppy? Yes No

Do you agree to neuter/spay your puppy if purchased for companion purposes? Yes No

Please list any other information you feel will be helpful to us in helping you select the right puppy for you and your family, including a Veterinary reference or personal reference, name, address and phone number

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