KaraGold Goldens Puppy Application
Your assistance in completing this questionnaire will help us in placing the right puppy in your home. Please know all KaraGold puppies are placed into homes where they are going to live in the house and be part of the family. These questions are not meant to be judgmental in any way, so please feel free to be candid in your responses. Thank you for your cooperation and your interest in a KaraGold puppy.
Today's Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Occupation
Spouses’ Name & Occupation
Type a question
Please Select
Ages of Children:
How did you hear about KaraGold Goldens?
Why have you decided to buy a Golden Retriever?
Which gender do you prefer? Why?
If your first choice (Male or Female) is not available would you consider taking a puppy of the opposite sex or would you want to wait for another litter? If you are flexible it greatly increases your chances of getting a puppy from the litter in which you are interested. Also, it helps the Breeder find just the right puppy for your family’s lifestyle.
What is the most important reason for purchasing a Golden?
Please Select
Family Companion
Hunting/Field Work
Show Dog
Agility
Breeding Prospects
Pet Therapy
Obedience Competition
Have you completed any AKC/CKC titles on other dogs?
Yes
No
Would you consider anadult Golden Retriever if available?
Yes
No
Do you currently ownother pets? If yes, please describe breed, spayed/neutered, and ages of each:
What type of personality are you looking for? Ex. ‘Couch Potato’, Middle of the Road, Very Active, Independent, Other/Additional Info
Is your yard completely fenced? Pleasecheck all that apply:
Securely fenced
Yard not fenced
No yard
Will fence yard
Where will the Golden be accommodated during the day? Please describe:
Have you or are youwilling to Crate Train the puppy?
Yes
No
Will someone be home with the puppy during the day?
Yes
No
If not, are you willing to make arrangements to feed and exercise yourpuppy? (Pet sitter, neighbor, family member) Please provide details:
When this puppy is purchased as a family companion, do you agree to haveit spayed (females) by 9-12 months of age or neutered (males) no later than 1year of age and submit a Veterinarian Certificate to the Breeder as proof ofsurgery for her records?
Yes
No
Are you willing to take your puppy to ‘Puppy Kindergarten’/socialization and basic obedience classes to ensure that you have awell-mannered, enjoyable companion?
Yes
No
If yes, who in your home will do the training?
Do you have a swimming pool?
Yes
No
Do you have a veterinarian? Veterinarian/clinic name:
Please provide the names & contact information of 2 references:
Any additional information is welcome:
All of our companion pet puppies are sold withAKC Limited Registration and spay/neuter contracts. This means that the dog iseligible to be registered, however, none of the offspring areeligible for registration. In other words, this dog is NOT to be bred. A dogwith Limited Registration, as well as a spayed/neutered dog can compete in allAKC events except in the Conformation (Breed) ring.
Submit
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm