Puppy Application
Name
*
First Name
Last 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?
*
Yes
No
Are you or your spouse a First Responder or Military (past or present)?
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Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
Please Select
Browser Search
Google
Facebook
Instagram
Personal Reference
Other
Who can we thank?
*
You chose "Personal Reference" or "Other" please let us know who/how you found us.
Puppy Related Questions
Which breed of puppy is this application for?
*
Please Select
Golden Retriever
Miniature Goldendoodle
How would you like to choose your puppy?
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Have the breeder match the puppy with me based off of the apptitude test.
Choose the puppy based off photos.
Agreement:
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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?
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Yes
No
No Registration Waiver:
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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:
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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
*
Please Select
Male
Female
Either
Both
Do you rent or own?
*
Please Select
Rent
Own
Do you have a fenced yard?
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Yes
No
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?
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Yes
No
What 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?
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Yes
No
How often will your puppy be outside?
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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?
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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)
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.
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Previous Dog Experience
Did you grow up with dogs?
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Yes
No
Have you ever lived with an indoor dog?
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Yes
No
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?
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Yes
No
Have you raised a puppy as an adult?
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Yes
No
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?
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Yes
No
Do you currently have other pets?
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Yes
No
Please tell us about your other pets (include current vaccines/ preventatives /spay or neuter status)
*
Do you plan on:
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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.
Submit
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