Name: Address: City: State: ZIP: Home phone: Cell phone: Occupation: *If married, please provide both names and occupations.

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1 Phone: facebook.com/northstarlabradoodles instagram.com/northstarlabradoodles Puppy Application Thank you for your interest in a NorthStar Labradoodle. As a responsible breeder and advocate for multigeneration Australian Labradoodles, it is important to find the best homes and families for our amazing puppies. Please answer all questions as thoroughly as possible. This will verify that you have thoroughly considered and prepared for the responsibility of a NorthStar Labradoodle and help us select the puppy that best suits your family s needs and desires. If your application is approved, you will be asked to submit a $500 deposit to hold your placement on our waiting list. Your deposit will be applied to the adoption fee of your puppy and is refundable after 12 months if we are unable to provide one that meets your requirements. Name: Address: City: State: ZIP: Home phone: Cell phone: Occupation: *If married, please provide both names and occupations. Dog Preferences 1. What gender do you prefer? Male Female No Preference 2. Please number the order of color preference: Apricot Cream Red PartiColor Black Silver No Preference 3. What coat type do you prefer? Fleece Wool No Preference 4. What size do you prefer? Miniature (15 to 17 inches) Medium (18 to 21 inches) No Preference 5. Do you want to reserve a puppy from a specific litter? 1 of 5

2 Family Information 1. Does anyone in your family have allergies or asthma? Yes No Explain 2. Does everyone in your family want a new puppy? Yes No 3. Do you have children? Yes No If so, what ages? If so, have they been exposed to dogs? 4. Do you currently have a dog? Yes No If so, what age and breed? 5. Have you owned a dog before? Yes No If so, what breed and why you no longer have them? 6. Have you ever given up your dog to an animal shelter? Yes No 7. What is your level of experience with dogs? 8. Do you have any other pets? Yes No If so, what types? 9. Do you work outside of home? Yes No Do you work full time or part time? Full Time Part Time Retired 10. What kind of lifestyle do you lead? Sedentary Semi-Active Active Explain: 11. Do you own or rent a home? Own Rent Property Size Explain: 2 of 5

3 Puppy Information 1. Will your puppy live inside the home? Yes No 2. Does your home have a fenced yard? Yes No 3. Where and with whom will your puppy be kept during the day? 4. If you work, will your puppy be alone all day? Yes No Explain: If so, will your puppy be provided a midday potty break? Yes No 5. Where will your puppy sleep at night? Please explain: 6. What is your plan for when you are out of town and cannot take your puppy with you? General Commitment 1. Are you aware of the time and energy needed to care for a puppy? Are you willing and able to accept that responsibility? Yes No 2. Will the cost of caring for your puppy fit comfortably into your budget? Yes No 3. Will you commit to basic obedience training for your puppy? Yes No 4. Are you commited to taking care of your dog for his or her lifetime? Yes No 5. If you are unable to care for your dog at any point during his or her lifetime, do you agree to contact us so that we may assist in re-homing the dog? Yes No 6. Do you agree to provide your dog with all necessary veterinary care to maintain his or her good health? Yes No 6. Do you understand that if you decide that you are no longer interested in a puppy before one is placed with you, that you will forego your deposit with us? Yes No 3 of 5

4 Guardian Home Program 1. Are you interested in becoming a Guardian Home? Yes No If not, please skip to the next section. 2. Do you understand that the dog belongs to NorthStar Labradoodles until its paperwork has been transferred to you? Yes No 3. Are you working with other breeders to become a Guardian Home or purchase a puppy? Yes No If so, who? 4. Do you understand the additional work and monitoring that is required for an intact breeding dog with NorthStar Labradoodles? Yes No 5. Do you plan to provide your NorthStar Labradoodle puppy with higher level training to become a therapy dog or gain a certificate in the Agility Trials? Yes No Additional Information References 1. Please provide two unrelated, non-family references: Name Relationship Phone Number 4 of 5

5 2. What is the name of your veterinary clinic? Have you used this vet before? Yes No May we contact them for reference? Yes No What is the best time to call and discuss further? How did you find us? I have answered all of the above questions truthfully and honestly. I understand that if any false statements have been given, Northstar Labradoodles has the right to refuse to sell to me and my deposit is n Signature Date Thank You! 5 of 5