Puppy Application Form
Please answer all questions as thoroughly as you can.
Name
*
First Name
Last Name
Spouse/Partner Name
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which is your preferred method of communication?
Cell phone
Home phone
Do you text?
Yes
No
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)
Elderly
Disabled
Has special needs
Allergic 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?
*
Yes
No
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?
*
Yes
No
Do you prefer?
*
Male
Female
Not 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?
*
Yes
No
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?
*
Submit
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