Puppy Application - Golden Retriever

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

If you currently do not own any dogs, tell me about your past exposure to dogs and dog ownership?

Have you ever owned a dog before?

YESNO

If yes, what dog breeds have you owned?

Do you still own the dogs? If not, what happened to the dogs?

Do you currently own any other non-canine animals? If Yes, please list them.

Have you ever owned a golden retriever dog before?

YESNO

What made you decide to purchase a golden retriever?

Do you prefer a male or a female? Why?

Do you have a color preference?

YESNO

What Color?

Would you consider a puppy of another color or sex if your preferences are not available?

YESNO

How soon are you looking to get a puppy?

What activity level are you comfortable with in a dog?

LOWMEDIUMHIGH

Do you intend to compete with your dog?

YESNO

Do you plan to participate in any of the following activities with your puppy?

If you are not planning on breeding or showing, would you be willing to have your dog Spayed or Neutered?

YESNO

All of our puppies are sold on AKC Limited Registration (if applicable) until age 2 with genetic and OFA clearances this a problem ?

YESNO

If Yes, why?

How many adults live in your home?

How many children live in your home and what are their ages?

I s anyone in the home allergic to dogs?

YESNO

If yes, please explain how the allergy will be controlled.

Are all the members of the household comfortable around the presence of a puppy that could nip, jump and chew during its training stages?

What are your plans for housing, training, and exercising your puppy?