Puppy Application Form

Name*

First NameLast Name

Spouse/Partner Name

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Which is your preferred method of communication?

Cell phoneHome phone

Do you text?

YesNo

Cell phone number*

Please enter a valid phone number.Format: (000) 000-0000.

Home phone number

If applicable.Format: (000) 000-0000.

How did you hear about us?*

Your Occupation?

Spouse/Partner Occupation?

Do you and/or your spouse/partner work in or out of home?

How many hours a day would the puppy be left alone? Generally, puppies can hold it for one hour per every month of age (so a three-month old puppy can wait three hours to pee)

Do you have somebody you trust to let the puppy out when you're gone for extended periods of time?

On a scale from 1-10, 1 being not active at all and 10 being very active how would you rate your life style? If you are active then please describe your active life. Would your puppy be involved in your activities?

Puppies who's bones and joints are still developing can suffer from permanent conditions if they take part in extensive running and agility.

Is there a person in your household who is : (Click all that apply)

ElderlyDisabledHas special needsAllergic to dogs

If you have children please list their ages.

Have you owned a dog before?

Have you owned a puppy before?

If you have other pets, please list their species/breed/gender/ages.

Describe your new pup's living situation? Will your dog be mainly living inside or outside the house?*

Puppies will be sold under AKC limited registration. This means that the puppy must not be bred, unless otherwise agreed upon. Do agree to this?*

YesNo

I understand that I will be asked to sign a contract agreeing that this puppy will never be resold or given to any person, pet shop, puppy mill or agent of the same? If for any reason you are no longer able or willing to care for this puppy, do you agree that you will return the dog to Golden Cream Hearts or get our permission before rehoming the puppy?*

YesNo

Do you prefer?*

MaleFemaleNot a preference

If your gender preference is not available or if there are not enough puppies in the litter, are you willing to switch to the opposite sex?*

YesNo

What characteristics are you looking for in your Golden Retriever (High/Low Energy, Good with Kids, etc) ?*

Is there anything else that you would like to share?

Do you plan to train your dog for service or therapy work? If so who will be doing the training? If for service work to you know what tasks you would want it to perform?*

Puppy Application Form

Please answer all questions as thoroughly as you can.