Online Puppy Application

Kohana Reg'd Golden Retrievers' Online Puppy Application

Welcome to Kohana Goldens Online Puppy Application. This application is your first step at becoming the home of one of our precious new puppies (or placeable adults, if one is available). From here, it is best to send us a quick email to let us know that you've filled out the application, as there have been instances where applications have mistakenly ended up in our "Junk" folder. By filling out the following application, it neither entitles you to a Kohana puppy, nor is it a commitment on your part to accept a Kohana puppy. Thank you in advance for your interest.
Name*

First NameLast Name
Spouse's Name

Spouse's First NameSpouse's Last Name
Occupation*
Spouse's Occupation
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
How did you hear about Kohana?*
Other (If Applicable)
If you met another Kohana puppy, who was it?
Why did you decide to welcome a Golden Retriever into your home?*
Do you have, or currently plan to have children?*
In the event that you currently have children, please list their ages.
Which of the following statements best describes the general activity level of your home?*
Please describe the types of activities you (and your family) enjoy .*
Please describe your current living arrangements*
Do you currently have any other pets in your home?*
If so, please specify their species and ages
Does anyone in your household suffer from allergies due to animals?*
How many hours, in a typical day, will your puppy be left at home without your direct supervision?*
What would be the average duration of time that your puppy would be left at home without your direct supervision in a single instance?*
Do you plan to crate train this puppy?*
Do you have a gender preference for this puppy?*
Do you plan to have this puppy spayed or neutered?*
Do you plan to use this puppy as breeding stock?*
ConformationRally ObedienceStandard Competitive ObedienceAgilityTrackingField/HuntOther
If you selected the "Other" option above, please explain what other events you would like to participate in with your dog in
Do you plan to have this puppy enrolled in a Puppy Socialization Class?*
Which brand and formula will this puppy be fed when it comes home?
Is there anything else you would like to tell us about yourself, your family, or what you are looking for in your new addition to your family?
To Contact Us: kohanagoldens@telus.net or Private Message our Page on Facebook at https://www.facebook.com/kohanagoldens
Should be Empty:

Kohana Reg'd Golden Retrievers' Online Puppy Application

To Contact Us: kohanagoldens@telus.net or Private Message our Page on Facebook at https://www.facebook.com/kohanagoldens