Name
Address
Phone
Email
How Did You Hear About Us?
Occupation:
Why have you decided that the Golden Retriever is the right breed for you?
Have you ever owned a Golden Retriever before or any other breed of dog? If so what breed(s) and how many.
Are you looking for a puppy or an older dog?
Is your preference?: Male Female :
Coat Color: Light Medium Dark :
If your first choice is not available would you be willing to take a puppy of the opposite sex or different color?
Type of dwelling? House Condo Apartment:
If renting, please give name, address and phone number of landlord.
Who will be the primary care giver?
Is your yard completely fenced with secure fencing?
If no would you be willing to do so before bringing home a new puppy/dog or build a secure run for the puppy/dog to be when not being safely supervised?
Do you have any other animals?
Age of children in the home?
Where will the puppy be kept during the day?
Would someone be home with the puppy during the day?
If no how many hours on the average will the puppy be home alone?
If no one is going to be home during the day when the puppy requires extra attention and feedings, would someone be able to come home to feed the puppy its lunch and let it out for a bathroom break to keep its routine regular?
Are you willing to crate train your new puppy?
Where would the puppy or dog be housed during the day if no one is home?
Does anyone in your household have any allergies to animal?
If yes, to what are they allergic to and how severe is the reaction?
Are you willing to take this puppy to puppy socialization classes and then on to obedience classes so that it will become and enjoyable companion and good canine citizen?
If yes, who will be doing the training?
What do you expect the activity level of the breed to be?Very high, high, moderate, below average:
What kind of surfaces will the puppy be on in your home?
How long did your last pet live?
What were the circumstances of his/her death?
Have your ever completed a CKC or AKC title in: conformationObedience field tracking agility?
What is/are the main reasons for purchasing a Golden Retriever? (List all that apply)Family companion, show prospect ,breeding, Pet therapy,Hunting/field work, agility obedience, tracking:
Would you be willing to let the breeder or a friend of the breeders to come and visit the puppy or dog once it is in his or hers new home to see how thing are working out?
Are you willing to contact us and keep us informed of any problems that may develop with the pup throughout its entire life time?
Agree to spay and neuter -all puppies are sold on a non breeding agreement and need to be spayed or neutered as per the terms in my contract
Yes
No
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