Puppy Application

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Current Age*

Email*

example@example.com

Preferred Language*

Are you a US citizen or permanent resident?*

YesNo

Are you or your spouse a First Responder or Military (past or present)?*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How did you hear about us?*

Who can we thank?*

You chose "Personal Reference" or "Other" please let us know who/how you found us.

Which breed of puppy is this application for?*

How would you like to choose your puppy?*

Have the breeder match the puppy with me based off of the apptitude test.Choose the puppy based off photos.

Agreement:*

By choosing to pick your puppy based off of photos and not have the puppy placed in your family based off the temperament test you understand and agree that: 1) You will have to choose your puppy from the photos provided on the website by 5 weeks of age. 2) Your puppy WILL NOT be temperament tested.

All puppies are registerable through AKC/CKC or both. Do you want registration papers with your puppy?*

YesNo

No Registration Waiver:*

I understand that by choosing to take my puppy home without registration papers means that I will not be able to get the puppy's registration papers at a later date.

Registration Waiver:*

I understand that by choosing to take my puppy home WITH registration papers means that I will be REQUIRED to register the puppy through the appropriate registry. I understand that the puppy's registered name will have to contain the name "Regency" to help track lineage and that the fees associated with registering a puppy will be my responsibility. I also understand that the papers will be limited registration and I will not be allowed to breed the puppy/dog.

Preferred Gender*

Do you rent or own?*

Do you have a fenced yard?*

YesNo

Name and Phone for Landlord*

Please explain how your puppy will eliminate, play, and exercise without a fenced yard. *

Will you keep your puppy on Heartworm prevention?*

YesNoWhat is heartworm prevention?

If necessary, do I have your permission to contact your veterinarian concerning your puppy's care after he/she has moved to your home?*

YesNo

How often will your puppy be outside?*

Whenever we are not home.Most of the day.Just to Potty and Play (Supervised)Just to Potty and Play (Unsupervised)For multiple hours throughout the day (Unsupervised)Only when a human is outside

How often will your Adult be outside?*

Whenever we are not home.Most of the day (Unsupervised - cameras are not supervision).Just to Potty and Play (Supervised)Just to Potty and Play (Unsupervised)Whenever they want, we have a doggie door.For multiple hours throughout the day (Unsupervised)Only when a human is outside

Golden Retrievers (and Goldendoodles) are absolutely amazing dogs. However, they are Tasmanian Velociraptors as puppies. The first 8 to 24 months can be difficult depending on how much time and training you can put into your puppy. Are you ready for this possible/probable chaos? Have you done research on this breed before deciding that a Golden (or Goldendoodle) will fit into your family? Please explain. *

Did you grow up with dogs?*

YesNo

Have you ever lived with an indoor dog?*

YesNo

Golden Retrievers love water, dirt, rain, mud, and anything else that can make them dirty. They also shed an amazing amount of hair. Since you have never lived with an indoor dog, are you sure you are ready to deal with the unavoidable mess?*

YesNo

Have you raised a puppy as an adult?*

YesNo

Since you have not raised a puppy as an adult, you will be required to talk to a few of our current puppy owners BEFORE a puppy will be placed in your home. This is so you can be aware of possible challenges with your puppy and you have additional support (not just from me) when your bring your puppy home. Are you willing to do this?*

YesNo

Do you currently have other pets?*

YesNo

Please tell us about your other pets (include current vaccines/ preventatives /spay or neuter status)*

Do you plan on:*

Picking up the puppy in person.Having the puppy transported (you must live more than 3.5 hours away for this option)

Is there anything else you would like to tell us?

Signature*

This electronic signature is considered as legal and binding as a manually signed signature.

Once you submit this application, you will be directed to the deposit page. If you choose not to place the deposit, your application will not be considered. Feel free to call us with any questions 830-534-7516

Puppy Application

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