Puppy Guardianship Application

Being a Guardian Family for Roots & Rocks Homestead Golden Retrievers is an excellent opportunity to have our pick of the litter, but it also comes with a serious commitment to our breeding program. Please make sure you read through our Puppy Guardianship Program.

First and Last Name

Street Address

City, State and Zip Code

Home Phone

Work Phone

Email Address

example@example.com

Number of children at home as well as their ages

Does anyone in your immediate family suffer allergies to dogs?

Do you own your own home or is it a rental house?

Do you have other pets? Please list type, breed and age

Briefly describe your home and family life

Do you have experience in raising a puppy

Do you have experience in raising an intact dog (not neutered or spayed)?

Do you have a fully fenced yard?

Do you live within a 120 mile radius of Lewisburg TN?

If not, are you willing to travel to deliver the guardian dog for breeding & whelping?

Will someone be at home with the puppy for the majority of each day?

Do you agree to feed a premium food approved by Roots & Rocks Homestead?

Will you be willing to obedience train and socialize a puppy by yourself or a trainer?

Have you ever surrendered a dog to a pet shelter? (if yes, please explain)

Is there anyone in your home who does not want a puppy?

Do you agree to provide routine veterinary care?

Personal Reference#1: (Name and Contact Information)

Personal Reference#2: (Name and Contact Information)

Vet Reference (Name and Contact Information)

Please let us know if you have any question about the guardian program, or have additional information you want to add about your family

I certify that the information provided on this form is true and correct. I am also financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements.

By signing below, I acknowledge that I have completely read this questionnaire, and understand it fully.

Your Name

Today's Date

Date

If you are interested in our Puppy Guardianship Program, please fill out the Application form, or call us at 509.393.4465 for more information or questions.

PREFERENCES & RESPONSIBILITIES:

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