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Welcome to our Puppy Application
Hi there, please fill out and submit this puppy application to be added to our waiting list.
35
Questions
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1
Have you read our FAQ & Guidelines page? We require that you read this page before getting one of our pups.
*
This field is required.
The FAQ page is located under the "Puppy Info" tab on our website.
Yes, I have read the FAQ & Guidelines page.
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2
You understand that by filling out this application you will be added to our waiting list. You will remain on the list until a puppy is available for you from your preferred litter unless we believe that you cannot provide a good home for a golden retriever. You also understand that you may be dropped from the list if we do not hear from you or if you do not respond to our emails for more than six months.
*
This field is required.
Yes, I understand.
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3
Name
*
This field is required.
Please provide your first and last name.
First Name
Last Name
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4
E-mail
*
This field is required.
This is our main form of communication, so please use an email address that you use and check often. We recommend using a personal email address and not one that is used for work or school.
example@example.com
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5
Phone Number
We aren't likely to call or text you unless absolutely necessary.
Area Code
Phone Number
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6
Address
*
This field is required.
Please provide your current physical address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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7
Will you be the primary owner of the puppy/dog?
*
This field is required.
YES
NO
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8
If you will not be the primary owner of the puppy/dog, who is the intended primary owner? Provide explanation.
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9
Please provide your age or the primary owner's age.
We require that the primary owner is at least 18 years old.
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10
Do you have a gender preference?
*
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Male
Female
Either
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11
You understand that most of our puppies are initially given AKC limited registration by default and puppies going to companion homes are to be spayed or neutered by 2 years of age? Full registration options must be discussed with us before you obtain a puppy from us.
*
This field is required.
Breeding options may be discussed separately. A breeding contract and/or co-ownership agreements may apply.
Yes
No
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12
Are you experienced in raising and training a large breed dog?
*
This field is required.
Yes
Somewhat
No
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13
Please let us know what you are looking for in a dog. What is the ideal temperament, energy level, grooming level, working ability, etc., that you are looking for?
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14
For what purpose(s) are you wanting a Golden Retriever for? Select all that apply.
*
This field is required.
Pet
Show
Hunting
Therapy/Service
Agility
Obedience trials
Breeding
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15
Which of our dogs are you most interested in getting a pup from?
We cannot guarantee a pup from your preferred dog or litter, but will try when possible.
Huck
Banner
Fluff
Savvy
Willow
Murphy
Oakley
Ember
Older/Retired dog
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16
You understand that this breed can be very high energy, can have separation anxiety, will chew, and may not grow out of the puppy phase until about 2 years of age.
*
This field is required.
Yes
No
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17
How many people live in your household?
*
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18
Are you financially able to provide for a puppy throughout its life? (According to AKC, the average cost of caring for a dog is $2500 per year, or about $208 per month.)
*
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Yes
No
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19
You understand that this is a social breed that should have adequate time socializing with other people and other dogs. You understand that training is your responsibility as a dog owner. You understand that even a great breed like the golden retriever cannot reach its full potential without adequate time, socialization, and training.
*
This field is required.
Yes
No
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20
Do you intend to spay or neuter your puppy at the appropriate age?
*
This field is required.
Yes
No
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21
If the puppy becomes too much to handle or you need to rehome it for any reason, you will contact us to assist in finding the puppy a new home.
*
This field is required.
Yes
No
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22
You will share information and photos about your puppy with us as he/she ages via email or social media, and will allow us to share information about your puppy publically through our website and social media.
*
This field is required.
Yes
No
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23
Please tell us about the home the puppy will live in. House, apartment, condo? Fenced in yard, land, nearby parks, etc.?
*
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24
Will the puppy live inside or outside? If outside, will there be adequate shelter for extreme weather?
*
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25
Do you have any young children or intend to have children in the near future?
*
This field is required.
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26
What is your schedule like? How much time will you and your family have to spend with your puppy?
*
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27
Are there any other pets in your home and will they get along well with a puppy?
*
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28
Goldens are prone to becoming overweight. What is your plan to be sure your puppy is getting adequate exercise and nutrition?
*
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29
Do you intend to kennel your puppy and for how long per day?
*
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30
Are you certain you can provide a good, loving home to the puppy throughout its lifetime? (Goldens live an average of 10 to 12 years, but can live longer.) Please consider your age, health, lifestyle, and financial stability.
*
This field is required.
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31
What do you intend to do with your puppy if you are no longer able to care for it?
*
This field is required.
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32
Are you open to signing a Puppy Contract?
*
This field is required.
We haven't yet enforced an official contract in the past, but a contract would simply cover the expectations for care of the puppy, spay/neuter contract, possible details on breeding if applicable, return policies, and health guarantee.
Yes
No
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33
Please provide any other information you'd like us to know.
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34
How did you find out about us?
*
This field is required.
Facebook
Instagram
Good Dog
Referred by someone else
Internet search
Other
Facebook
Instagram
Good Dog
Referred by someone else
Internet search
Other
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35
Please type your name as a digital signature, confirming that all provided information you provided in this application is correct and truthful.
*
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