Puppy Reservation Form

Contact Information

Full Name

Address

City

State

Postal code

Phone *

Email *

Preferences

Would you like a:

Male

Female

Either

Which color would you prefer?

Hunt Test and Field Trial Experience

In which type of retriever activities are you involved?

AKC Field Trial

AKC Hunt Tests

UKC Hunt Tests

NAHRA Hunt Tests

Other Types of Activities

Which titles / accomplishments have your retrievers achieved?

What are your goals for this puppy?

Please indicate which E.L.R. Litter or Litters in which you are interested

If you will be training the puppy yourself, do you follow any particular training program? If so please provide details here. Otherwise what pro will handle this pup?

Captcha