Quality Retrievers for Hunting & Family
+1 228-493-7474
Puppies
Started Dogs
Finished Dogs
SIRES/DAMS
Dog Training
More Info
Search dogs
Search dogs
Open menu
Client Intake Form
Please provide detailed information about you and your dog
Client Information
Client Name *
Email *
Phone *
State *
City *
Date of Drop off *
Time of Drop off *
Dog Information
Dog Name *
Date of Birth *
Breed *
Select breed
American Water Spaniel
Boykin Spaniel
Brittany
Chesapeake Bay Retriever
Cocker Spaniel
Curly-Coated Retriever
English Cocker Spaniel
English Setter
English Springer Spaniel
Field Spaniel
Flat-Coated Retriever
German Shorthaired Pointer
German Wirehaired Pointer
Golden Retriever
Gordon Setter
Irish Setter
Irish Water Spaniel
Labrador Retriever
Nova Scotia Duck Tolling Retriever
Pointer
Sussex Spaniel
Vizsla
Weimaraner
Welsh Springer Spaniel
Wirehaired Pointing Griffon
Other
Weight (lbs) *
Sex
Select sex
Male
Female
Current Shot Record *
Click to upload shot record
PDF, JPG, or PNG
Client Notes
Flea/Tick Medication
Product Name
How many are you leaving?
Due Date
Heartworm
Included in Flea/Tick Pill
Product Name
How many are you leaving?
Due Date
Dog Food (Required) *
Kennel provided food at $50/month
Dog Food Type *
Upload Bag Picture *
Click to upload food bag picture
JPG or PNG
How much are you leaving? *
Other Medications
Training Programs
Select all that apply
Obedience
Obedience with a fun retrieve
Blood trail/Tracking
Therapy dog
Beginner Gun dog
Advanced Gun dog
Shed Hunting
Custom
About Your Dog
Human Aggression:
5/10
1 - Very Friendly
10 - Aggressive
Dog-on-Dog Aggression:
5/10
1 - Very Friendly
10 - Aggressive
Health
Ear infections
Skin issues
Sores/hairloss
Health Notes
Weight
Underweight
Normal
Overweight
Eating Times
AM
PM
Eating Habits
Slow
Normal
Fast
E-Collar Experience
No
Yes
Is your dog skittish?
5/10
0 - Not Skittish
10 - Very Skittish
Please describe your dog and the training you would like
Submit Client Form
