(You can get the ONLINE ADOPTION QUESTIONNAIRE by clicking here)

Read more about our adoption process by clicking here

Name ____________________________________________________________

Address _________________________________________________________

City, State, Zip ___________________________________________________

E-mail ________________________________

Phones: Home ________________ Work __________________

Mobile _________________ Pager ______________________

Number of family members: _________

Ages of children ____________

How many family members are home during the day? _____

If no one, who wiII care for the young pup? ______________________

Where will the dog sleep? ___________________________________________

Do you own or rent? __________

How long at current address? __________

Is your yard fenced? _________

What kind of fence? ____________________

If you are planning an invisible fence, how will you contain the pup until it is old enough to use the invisible fence? ____________________________________________

Explain why you want a dog ___________________________________________

Who will be responsible for training the dog? ________________________

Do you plan to have the dog trained professionally? ___________

Do you plan to have your dog spayed or neutered?

What happened to your last dog? ____________________________

How many other pets do you have now? ____ What kind are they, and how old? ____________________________________

If your puppy swallowed a sock and the veterinarian told you it needed an operation that would cost $1200, what would you do? _____________________________

Who is your current veterinarian, include phone number + area code _____________

Have you used a crate to house train puppies before? ______

Have you trained any dogs to achieve titles? If so, which titles? _________ _______________

What hobbies do you have? _____________________________________

How many hours a week do you plan to spend with your dog? ________

Are you planning to move in the next 5 years? ______

What will you do with your dog when you go on vacation? __________________

Are you prepared to make this commitment for the next 14 years? _________

Do you plan to use for dog for hunting? _______

What kind of hunting do you do? ________________________

How often did you hunt this past season? __________________

Will you run your dog in any Field Trials, Hunt of Field Tests? _______

Who will train your dog for these events? _____________________

Do you plan to send your puppy back for puppy training at Deep Run Farm? _____

Will you want your pup shipped to you? ____

What is the nearest LARGE airport to you? __________________

Will you want to buy a crate to ship your pup, or send one to us for shipping? _____

Are you interested in a special Deep Run litter? If so, which one? __________________

Are you interested in a male _______or female_______ pup?

Please list your color preference, (number 1 most preferred, number 3 least preferred). Black___________Yellow____________Chocolate____________. If you are only interested in one color, simply put number 1 next to that color.

Please print out and Mail the completed questionnaire to us at:
Deep Run Farm
13727 Blackwells Mill Road
Goldvein, VA 22720

Email it to DeepRunRet@aol.com

Fax it to 540-752-4775.

After we receive your Questionnaire, we will contact you to determine the best pup for you. A deposit of $150 is required to hold your pup. We accept checks, Master Card, VISA, and cash. We will try to make the best selection of a pup from our litter for you, based on your responses to this questionnaire. If you have more you would like to tell us about your family, and what you are looking for, do not hesitate to include it with this questionnaire. Your puppy will be selected for you, based on the information we have. Your puppy will be available on or after his 8 week birthday. If you are not pleased with your pup, you may return it to us within one week for a full refund. All transportation costs will be your responsibility.