Upstate Revival Retrievers Puppy Application Form

Upstate Revival Retrievers Puppy Application Form

Thank you for your interest in Upstate Revival Retrievers. Please fill out this application to be considered for one of our puppies. This application does not guarantee you a puppy but is for us to get to know you and your lifestyle so that we can understand what/who will fit you best. Please fill out the entire application; incomplete applications will not be considered. Please inquire about pricing if you have not done so. We will accept deposits only after being contacted personally and on Good Dog via web. Thank you!
- Full Name*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number*
- E-mail*
  example@example.com
- Which is your preferred method of contact?*
- Age*
- Occupation*
- How did you hear about us?*
- Gender preference?*
  
  FemaleMaleNo preference
- How many adults and children live in your home? Please specify ages of children*
- What type of schedule do you plan to have for your puppy?*
- Where will the puppy spend time while you work or are away from home?*
- Are you prepared for the puppy stage and do you understand the 10+ year commitment that comes with a Golden Retriever?*
- What type of diet do you plan on using for a puppy?*
  
  Kibble/dry foodRawCombinationUnsure
- What type of home do you live in?*
  
  HouseApartmentCondo/townhomeOther (specify)
- Do you own or rent your home?*
- Do you agree If you rent, to submit proof of permission from your housing unit?*
- Do you have access to a fenced in yard? If not, where do you plan to exercise your puppy/dog?*
- Who will be the caregiver/owner of the puppy?*
  Please note caregiver/owner must match contract
- Have you ever owned a dog before?*
- Have you ever owned a Golden Retriever before?*
- Please list all other pets in home and if they are spayed/neutered*
  Please note we do not place puppies in homes where opposite gender dogs are not altered unless discussed with us
- Who is your current veterinarian? If you do not have one, who do you plan to use?*
- Are you currently in contact with other breeders or on another breeder’s 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 puppy/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
- Do you have a litter preference? If not, please specify the type of personality you are looking for.*
- Upon approval, you are welcome to submit a deposit once contacted. Do you understand that deposits are non-refundable?*
- Do you agree to keep in contact with the breeder?
- We do not allow in person visitation for safety purposes. We are more than happy to FaceTime, video call, and update frequently as the litter grows. Do you understand that we are unable to accommodate in person visits with puppies?*
  
  YesNo
- Should be Empty: