Puppy Application
Name
*
First Name
Last Name
City and State
*
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Gender of desired puppy
*
Male
Female
No Preference
Tell us about the pets you currently own including the ages and breed
Where do you plan to house your puppy?
*
Inside the home
Fenced yard
Unfenced yard, dog will be tied up
Unfenced yard, dog will roam free
Other
If you chose “Other” in the last question, please explain
Your home is a / an
*
Please Select
Single family home
Apartment/Condo/Townhouse
Your yard size is
*
Please Select
Small
Medium
Large
Acreage
No yard
If you don’t have a yard, do you have access to a nearby park or sidewalks
Yes
No
Other
Tell us why you’re looking for a golden retriever puppy (i.e., pet, service dog, emotional support…) and your favorite things about the GR breed
Submit
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