Puppy Application Form

Puppy Application

The information contained in this application is used only for the purpose of placing a puppy and will not be used elsewhere.
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Lifestyle:

With these questions, we will be able to match the puppy better with its new home.
Do you live in a:
Do you own your home or is it a rental house?
Household Setting
Do you have a fenced yard?
Do you have children at home?
If children are in the home, what are their ages?
Does Anyone in your household have allergies to animals?
If yes, please indicate type, severity and if medication is required to manage.
Does anyone in the household have a fear of dogs?
Do you have any health conditions/disability that may limit your ability to exercise a dog?
Do you understand the time and energy it takes to care for a puppy:
For the safety of your puppy, when not in an enclosed fence area, please keep your puppy on a leash at all times.
Will the puppy sleep inside the home and be allowed inside throughout adulthood?
Profession
Do you work outside of the home?
How many hours in a day would the puppy be left alone?
On average a puppy shouldn’t be alone more than 5 to 6 hours a day
Have you owned a dog before?
If so, what breed and how long ago?
Do you have any pets now?
If you currently have pets in your home list type, age, sex and breed.
Have you researched Golden Retrievers?
What Gender are you looking for?
Do you plan to spay or neuter your puppy?
Do you plan to take your puppy to obedience classes?
Do you plan to insure your puppy?
Do you have a veterinarian you plan to use?
Name of veterinarian must be communicated to Lone Rock Golden Retrievers prior to picking puppy up.
Are you aware of the costs associated with keeping a dog? Veterinarian care/Grooming/Training Expenses?
Please indicate anything else that may help us with selecting the right puppy for you. Hobbies, Interests, Activity Level, etc.
Do you agree to contact Lone Rock Golden Retrievers in the event you cannot keep your puppy?
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval
Where did you learn of Lone Rock Golden Retrievers?
Date

MonthDayYear
Your name
E-mail
If we find you to be a good match for one of our puppies, a $500 deposit will be required to hold a puppy from the litter of your choosing. The final decision of which puppy is placed with your family will be up to Lone Rock Golden Retrievers. Input from potential families will be taken into consideration.

You will have the choice of having your deposit returned to you, or transferred to another litter of your choosing, should we not have a puppy available for you or we cannot meet your needs.

Thank you for choosing your puppy from Lone Rock Golden Retrievers!
Deposit type
Should be Empty: