LMU GOLDENS Questionnaire

LMU GOLDENS Puppy Application
Please take a moment to complete the questionnaire below! There are no right or wrong answers—this is simply a way for us to get to know you better. Be sure to answer every question fully. If your application is approved, you’ll receive an email notification (please check your spam folder). A deposit will then be required to secure your place in line. While this does not guarantee a puppy, it confirms your interest in an LMU GOLDENS puppy and gives you top priority. This process also helps us prevent spam applications. Thank you!

General Information
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Age*
Occupation*
How did you hear about us?*
Are you prepared for the puppy stage and do you understand the 10+ year commitment that comes with a Golden Retriever?*

What do you plan on doing with your dog?*

	Yes	No	Haven't decided yet
Hunting
Hunting Field Trials
Other trials: Agility, Obedience, Fly Ball
Possible use for future breeding
Show ring competition
Certification as therapy dog
Just a Family Companion

About Puppy's New Family
Is this your first dog?*
Is this your first time raising a puppy?*
Do you have other pets in the home?*
Have you ever returned a pet to a breeder/shelter/given away? If so, what were the circumstances?*
Do you already have a veterinarian?*
If yes, please give contact information:
Do you have a fenced yard?*

Ownership Commitment
This litter will be available to go home on the date specified on our website. Will you be able to take this puppy home on or within 5 days of this date?*
Do you agree to contact us in the case that you need to re-home this puppy for whatever reason?*
All of our limited registration puppies/retired adults are strictly companion and are not to be bred/used for breeding under any circumstance. Do you agree that you will not breed your limited registration puppy/adult at any time for any reason?*
Are you willing (and able) to provide necessary care, preventive care, and emergency care for the entirety of the puppy's life?*

Details
Are you currently in contact with other breeder's or on another waitlist?*
Do you agree to review and sign our contract if approved for a puppy?*
Do you understand to notify us immediately if you are in need of rehoming or returning your vpuppy/dog? The contract will require the puppy/dog to return to us.*

YesNo
Do you understand that puppies are sold with NO breeding rights unless agreed upon? Every puppy will go home with limited registration deeming them unable to produce puppies or participate in conformation.*

YesNo
Upon approval, you are required to submit a deposit once contacted. Do you understand that deposits are non-refundable?*
Do you agree to keep in contact with the breeder?*
Do you have any other questions for us you’d like us to note?
Should be Empty:

LMU GOLDENS Puppy Application