Akhiri Golden Retrievers Application & Enquiry Form
As we want to send our puppies to the best homes that last for life, we would like to know a little about you.
CONTACT DETAILS & HOUSEHOLD INFORMATION
Full name:
Address at which the dog will reside:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone:
Email:
example@example.com
How many adults live at the above address?
How many children live at the above address?
Ages of children, if applicable:
Do any members of the household suffer allergies to animals:
Yes
No
HOUSE/PROPERTY INFORMATION
Do you:
Own
Rent
Other
If you rent, please provide the name and contact number of your landlord or property manager for us to confirm if a dog is permitted at the property:
Property Type:
House
Apartment/Unit
Acreage
Other
If you are an owner/occupier in a unit or apartment complex, does Body Corporate allow you to keep a dog?
Yes
No
Does the property have secure fencing?
Yes
No
If so, what height is the fencing and the material it is constructed from:
Does your property have a backyard:
Yes
No
If so, what is the approx. size of the yard:
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DOG & PET INFORMATION
Will your dog be an inside or outside dog?
Inside
Outside
Both
Where will your dog sleep?
Do you have any other pets?
Yes
No
If so, please provide details (type, age, number, sex):
How many hours per day will your dog be left alone?
What arrangements would you make while on holidays or away from home for an extended period?
Have you ever owned a dog before?
Yes
No
If yes, please provide details (number, breed, what happened to them):
What research have you done on Golden Retrievers?
Preferred Sex of Puppy:
Male
Female
No Preference
Any reasons for this preference?
Do you plan to desex your puppy?
Yes
No
If no, why not?
Do you plan to go to puppy school and/or obedience with your dog?
Yes
No
Do you intend to participate in any dog sports/activities/trials (e.g. Obedience, agility, etc.) with your puppy?
Yes
No
Do you intend to take out health insurance your puppy?
Yes
No
Are you aware of the costs associated with keeping a dog?
Yes
No
Do you have a vet who would act as a reference for you?
Yes
No
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If yes, please provide name and contact details:
If no, please provide details of a personal referee:
Do you agree to return your dog to us should your circumstances change or the adoption does not work out?
Yes
No
ADDITIONAL INFORMATION
Tell us a few details about yourself and your family that we may have missed or that you think are important in your application:
How did you find out about Akhiri Golden Retrievers?
What made you choose to contact us?
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