PUPPY APPLICATION

Name*

First NameLast Name

Spouse/Partner Name (if applicable)

Email Address*

Phone Number*

Area CodePhone Number

Number of children and ages

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Type of residence*

Own homeRent homeApartment/CondoOther

What is your landlord's pet policy?*

Please provide your landlord's information:*

Do you own any pets?*

YesNo

Pet Name(s)/Breed(s)

Pet's disposition and behavior towards other dogs?

Do you have a yard?*

YesNo

Is the yard fenced? please describe

Have you ever had to re-home any animal?*

YesNo

Please explain the circumstance(s) necessitating re-homing?

How many hours per day would the pet be alone?*

Do you plan to crate train your puppy?

Where will the puppy be kept when at home alone?*

Will someone be able to feed/let puppy out during the day?*

YesNo

If you have to leave town, emergently or planned, where would your pet stay?*

Are you financially prepared to cover accidents/injuries/emergencies? Many emergency surgeries in large breed dogs can be $2,000+*

YesNo

Please provide information (phone number, address) of the vet that will be caring for your puppy*

Have you ever owned a Golden Retriever before?*

YesNo

Would you prefer a male or female puppy?*

MaleFemaleNo preference

Where did you hear about us?

Please tell us about your family and any questions you have for us.*

Submission of this application does not reserve a puppy. Approval/non-approval notification will be sent within 3 days to the email address provided above.