Grapevine Goldens Puppy Application
Filling out an application does not guarantee a puppy
Personal Information
Let's learn a little about you
Email
*
example@example.com
Today's Date
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Month
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Day
Year
Date
Name
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First Name
Last Name
Spouse/Partner 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.
Best way to reach you?
Please Select
Text
Call
Email
Best time of day to call?
How long at this address?
Do you rent or own your home?
If you rent, what is your rental agreement regarding pets?
Acreage/House, Condo, or Apartment?
Do you have minor children?
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Yes
No
Please list ages of each child. This is important in placement decisions!
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Your puppy preferences
What are you wanting....
How did you learn about Grapevine Goldens and why do you want a puppy?
Which breeding pair are you interested in?
Riggs x Giddy Spring 2026
Other
Future Breeding
If a pup is not available from the above mentioned breeding would you agree to be on the wait list for another litter?
Yes
No
What gender do you prefer for your puppy?
Male
Female
Either
LIfestyle Information
This will give me an idea what the puppy's life will be like inside your home
What is your occupation and typical weekly work hours? If you have a partner/spouse/roommate, please list theirs as well
*
Are you prepared and willing to financially provide for this puppy in the event of something catastrophic such are accident or illness?
Yes
No
Would you consider purchasing a health insurance policy for this puppy?
Yes
No
Is anyone home during the day? If not, please describe your plans to care and exercise the puppy during the day hours.
Where will the puppy be accommodated during the evening?
How many hours per day will the puppy be left alone?
Where will the puppy live?
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Indoors
Outdoors
In and Out
Other
What outside containment (fenced yard, kennel run, underground fence, leash walking) do you have planned or in place for the puppy? Do you have any hazards to contend with around your home (i.e. pool, wildlife, livestock, natural terrain)?
How will the puppy be monitored when it is outside?
Are there other pets in the home?
Yes
No
Please state all current pets; species, breed, sex, and age
Experience & Training
If you desire a pet puppy, and will not compete with your puppy, some of these questions may not apply to you. No worries! Just answer what you can.
Have you ever owned a dog before? If yes, please provide details as to breeds and activities in which you were involved
Describe what you believe to be the personality and activity level of Golden Retrievers.
What activities do you plan to participate in with this puppy?
Please describe your training philosophy (i.e. Purely Positive, Balanced, Traditional etc.) Be as detailed as you can and add the name of trainers you have studied under or admire. OR are you totally new to dog training?
What will be your course of action if this puppy does not meet your expectations? (if a working home: training and/or competition?)
*
Continue to train and love the puppy I have
Return the puppy to the breeder
Keep puppy and acquire another for competition or compantionship
Type option 4
How do you plan to house train the puppy?
Health, Diet, & Exercise
As it pertains to the puppy!
What is your understanding of vaccination protocols? If you have owned dogs before, what vaccines did you give and when?
Are you open to using titers to assess immunity and reduce exposure to adverse vaccine reaction or possible chronic health conditions?
Yes
No
I don't know what titers are, but would like more information
What is your opinion on keeping the dog intact for a minimum of 24 months? Are you aware of the many consequences of early spay/neuter?
What is your understanding of canine nutrition? If you have had dogs in the past what diet did you feed? What diet do you intend to use with this puppy? Do you include supplements? If yes, which ones?
Golden Retrievers are active dogs and require daily physical and mental stimulation. What type of daily exercise and activities do you intend to implement for this puppy?
Additional Information
Please add any other helpful information you feel would help me in approving your application or to help me match a puppy to your situation and home.
In thinking about what you hope your puppy will be like as an adult dog, please list the top three things you really want in your puppy's personality/traits and the top three things your definitely do not want in your puppy.
References
Please let your references know that I will be contacting them. I prefer by email, so you must include their email address! Please limit a family reference to only one.
First Reference: Name, Complete Address, Phone, Email
*
Second Reference: Name, Complete Address, Phone, Email
*
Third Reference: Name, Complete Address, Phone, Email
*
Provide name and contact information (Clinic name, address, phone) for the veterinarian you will be using
Agreement
I understand the difference between AKC Limited and Full Registrations
Yes
No
Please explain the difference
Type option 4
Puppies are sold on AKC Limited Registrations and non-breeding contracts. Full registration/breeding right may be obtained by those who are members of and follow the Code of Ethics of the GRCA and/or are experienced and reputable exhibitors. If you are wanting to breed, are you willing to have a co-ownership with Grapevine Goldens and/or able to provide extensive references to justify sole ownership on full registration? Check all that apply.
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I agree
I disagree
I wish to have full registration
I am ok with limited registration
I wish to breed this dog eventually
I do not plan on breeding this dog
I understand that filling out an application does not guarantee a puppy
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Yes
No
I understand and accept that the breeder places puppies on the basis of best fit by temperament and that coat color or other factors of appearance will not be a basis for placement.
*
I agree
I disagree
I want to pick my own puppy
Signature
Please verify that you are human
*
Submit
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