Personal Demographics Questionnaire

Full Name*

First NameMiddle NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Pet History

Have you ever owned (or been raised with)a dog(s)?*

YesNo

Have you owned a Golden Retriever or similar breed before?*

YesNo

Do you currently own any dogs?*

YesNo

Do you have any young children?*

YesNo

Do you have a fenced yard?*

YesNo

Have you trained a puppy before?*

YesNo

How soon are you looking to bring a puppy into your home?*

As soon as possible3-6 Months6-12 Months

Are you interested in a male or female puppy?*

MaleFemaleMale or Female

Do you plan to breed your puppy in the future or use as stud?*

YesNo (Pet only)Still Deciding

Additional Comments or Information

Important Considerations Before Reserving A Puppy
Please read through the following carefully to ensure you are prepared for the commitment involved in bringing a puppy into your home.

Before purchasing one of our puppies, it’s important to carefully consider the long-term commitment required. Golden Retrievers typically live 10-12 years, meaning you’ll need to be prepared for both the financial and emotional responsibility of caring for your dog for many years. This includes covering the costs of food, veterinary visits, grooming, training, toys, and other supplies.

Living Situation
You’ll need to ensure that your living situation is suitable for a Golden Retriever. They are an active breed that requires daily exercise and mental stimulation, so it’s important to have the time, space, and energy to meet their needs. This includes having a secure yard or access to a safe environment where your dog can exercise and play. If you rent, please confirm that you have landlord approval. Also, be prepared to puppy-proof your home to ensure both the safety of your puppy and your belongings, as puppies are curious and may chew on furniture, wires, and other objects. Golden Retrievers are generally good with children and other pets, but you’ll need to consider how they will fit into your household dynamics and supervise interactions for the safety of the puppy, children, and other pets as your puppy learns boundaries.

Travel & Time Away
It's important to plan for how you’ll care for your puppy if you travel often or have a demanding work schedule. You’ll need to arrange for care or companionship to ensure your puppy’s needs are met during your time away.

Time Commitment
Raising a puppy, especially during the first year, requires a significant amount of time. Training and socialization are critical in the early stages of your puppy’s life, and you’ll need to dedicate time and effort to housebreaking, basic obedience, and exposing your puppy to new people, places, and experiences. This early socialization helps prevent behavioral issues in the future.

I have read the considerations and understand the commitment of getting a puppy.*

Yes

Please note that placing a deposit reserves your spot on our waiting list. However, we reserve the right to select a puppy from any litter for our program. We carefully plan our litters and dedicate significant time and resources to raising the puppies, based on the interest indicated by deposits. As a result, deposits are non-refundable. We kindly ask that you be certain of your decision before committing.

Note regarding deposit

I understand deposits are non-refundable.