Puppy Application & Questionnaire Form

2026 Planned Litters
Puppy Reservations & Policies
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Puppy Application & Questionnaire Form
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Longmeadow Chesapeakes

Dover, PA ~ Kennel License # 4226

*** NEW 2026 Litters ***

*** NEW 2026 Litters ***

*** NEW 2026 Litters ***

Questions?  Please contact us!

Puppy Questionnaire

**You can also email us at  info@longmeadowchesapeakes.com ~ thanks!

Hi Folks!

Please complete our Questionnaire so that we can learn if we have the right puppy for you! Deposits are NON Refundable

Puppy Questionnaire:Please complete all fields below & Submit.(*Please note - All fields are required - if you cannot answer a question - please insert 'N/A' or "None" in the appropriate field.)

Puppy Gender:

No PreferenceMaleFemale

Puppy Color:

BrownDead GrassSedgeNo Preference

Puppy Type:

Companion/PetCompanion/HuntingConformation / ShowingObedienceAgilityHunt TestsBreedingOther

Puppy's Energy Level:

LowMediumActive

Time Frame:

1 Month2-3 MonthsNext YearFlexible for the Right PupNo Timeframe

Number of Other Pets:

Type:

Ages:

Neutered/ Spayed

Male(s) / Females(s)

Purchased Through a Breeder?

YesNo

Other:

Special Probems:

Number of Adults:

Names and Ages of Children

Special Considerations

What will be this puppy's home or living space?

Indoors/CratedOutdoor Kennel RunOutdoor Fenced YardOutdoor Farm

Plan to Breed?

Litters YearlyWill Not Breed

Neuter / Spay?

Will Spay / NeuterWill NOT Spay / Neuter

What Qualities Do you like in the Chesapeake Bay Retriever?

What Qualities Don't you like in the Chesapeake Bay Retriever?

Comments And Additional Information?

Your Email Address:

Your Name:

Your Address:

Home Phone #:

Alternate Phone #:

Thank you!

We have received your submission.

Error

Bad respond

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LongMeadow Kennels ~ info@longmeadowchesapeakes.com

Dover, PA 17315-3053

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