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Format: (000) 000-0000.
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- Select the option that best describes your current home or primary residence:*
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- Select the option that best describes your residency:*
- Do you have permission from your landlord to have a dog/puppy live on the property?*
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Format: (000) 000-0000.
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- Are there any babies, toddlers or young children that live in your household?*
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- Does every member of your household agree to the addition of a new puppy/dog?*
- Is any member of your household allergic to pets or animals?*
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- Please select the type of living situation you plan for this dog:*
- Is the dog allowed on the furniture?*
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- Do you have a dog door at your residence?*
- Do you have a private fenced yard?*
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- Are you certain your yard and fencing are secure enough for dog?*
- Do you have a swimming pool on your property?*
- Is the pool secure and gated?*
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- Please choose the option that best describes your employment status:*
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- Will anyone in your household be home when you are at work?*
- At the moment, is anyone at your home during the day?*
- When you go on vacation or a trip, who will care for your dog? (select all that apply)*
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- Do you currently have any other pets/animals living in your household?*
- What kind of pets/animals?*
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- Is the other dog(s) in your household spayed or neutered?*
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- Have you ever had a dog before?*
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- Have you ever had a dog (or another beloved pet) pass away before?*
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- Did you research the breed, and understand despite testing and ethical breeding practices, issues can still arise such as cancer, hip-dysplasia or other conditions?*
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- Do you know the difference between limited and full registration?*
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- What activities do you plan to do with your new dog?*
- Do you agree, that should you be unable to care for your dog/puppy you will return at your expense to the breeder? Do you agree to never surrender the dog to a shelter, or give away?*
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- Do you agree that this dog/puppy will never be sold or given to a broker, petshop, dealer, mill situation, stranger, breeding farm or other?*
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- Do you know how much veterinary care typically costs?*
- Are you prepared to spend the money for proper care of your dog, if needed? Will you provide inoculations as prescribed by your vet for your area?*
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- Do you currently have a trusted veterinarian?*
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- Do you agree to never breed the dog?*
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- Do you agree to feed a high quality diet that is not exclusively grain-free? Grain free diets have been linked to negative health conditions in Golden Retrievers.*
- Do you think it is necessary for your dog to wear an ID tag?*
- A pet requires a lot of people attention. Are you prepared to spend a lot of time with your new pet (for the rest of its life)?*
- Are you prepared to make a commitment to provide love and care for this new pet (up to 15+ years, if time permits)? Do you also agree to treat the dog in a kind humane way?*
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- Today's Date:*
- By checking the following boxes, I am agreeing to the following statements:*
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- Should be Empty: