Puppy Application
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.
Format: (000) 000-0000.
Email
*
example@example.com
Which breed of puppy are you applying for?
*
Golden Retriever
Australian Shepherd
Puppy color preference:
*
What if your color preference is not available to you when it is your turn to choose a puppy?
*
I am open to another color
I will wait for the next litter
Puppy gender preference:
*
Male
Female
No preference
What if your gender preference is not available to you when it is your turn to choose a puppy?
*
I am open to another gender
I will wait for the next litter
What kind of puppy are you looking for? (check all that apply)
*
Family pet and companion
Farm/working dog
Sport/competition dog
ESA (Emotional Support Animal)
Therapy dog
Service dog
Breeding dog
Other
Have you ever raised a puppy before?
*
Yes
No
Yes, as a child
What kind of research have you done on "how to raise a puppy?" What questions do you have for us (the breeders) about raising a new Golden or Aussie puppy?
*
Do you have other pets? (or livestock)
*
Yes
No
Please tell us a little bit about all of your other pets or livestock, and how/when your puppy will be allowed to interact with them (if at all).
*
Do you have children under the age of 17 living in the house?
Yes
No
Please tell us a little bit about your children and how/when your puppy will be allowed to interact with them (if at all).
*
What is your current living situation?
*
House
Apartment/condo
RV/house on wheels
Other
Please tell us how you plan to ensure your puppy gets enough daily exercise and outside playtime.
*
Do you have a fenced yard, or access to a private fenced dog park within walking distance (if living in an apartment/condo)?
*
Yes
No
Please tell us how you plan to allow your puppy to exercise while keeping him/her safe from moving traffic or from running away.
*
How many hours a day (on a typical weekday) will your puppy be left alone? (enter numbers only)
*
How do you plan to break up your puppy's day with a potty break and short walk/playtime?
*
Please tell us anything else you would like us to know about you, your family, and what you are looking for with your next companion.
*
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