REDTAIL Golden Retriever Inquiry/Application

REDTAIL Golden Retriever Puppy Application 2018 Firestorm Litter - 8-weeks

Golden retriever puppies sitting on a boat.

Applicant Name* This field is required.Primary owner and contact for puppy.

First Name

Last Name

Applicant Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Applicant Phone Number* This field is required.

Area Code

Phone Number

Applicant Email* This field is required.Verification required to prevent spoofing.

example@example.com

Applicant Employment* This field is required.

Current Employer

Job Title

Has the applicant owned a golden retriever from us previously?

YESNO

Is there a Co-Applicant* This field is required.

YESNO

Co-Applicant* This field is required.Additional owner if desired.

First Name

Last Name

Co-Applicant Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Co-Applicant Phone Number* This field is required.

Area Code

Phone Number

Co-Applicant Email* This field is required.Verification required to prevent spoofing. Use applicant email if no co-applicant.

example@example.com

Co-Applicant Employment* This field is required.

Current Employer

Job Title

Has the co-applicant owned one of our golden retrievers previously?

YESNO

Puppy Name* This field is required.Our puppies' names begin with Redtail and are based on a litter theme. If approved for a puppy, do you agree?

YESNO

Veterinary Care* This field is required.If approved for a puppy, do you agree to provide appropriate veterinary care?

YESNO

Spay or Neuter* This field is required.Research shows that golden retrievers are healthier if left intact. If you are approved for a puppy and are not able to leave your golden retriever intact, do you agree NOT to spay or neuter before18 months of age?

YESNO

Veterinary Records* This field is required.If approved for a puppy do you agree to provide contact information for your veterinarian and copies of veterinary records for your new puppy to the breeder when requested?

YESNO

Bird Introduction* This field is required.Our puppies are introduced to a variety of new experiences. If you are approved for a puppy, do you understand that all puppies from the litter will be introduced to birds?

YESNO

Training* This field is required.If approved for a puppy, do you agree to provide basic obedience training?

YESNO

Puppy Selection* This field is required.If approved for a puppy, do you agree to the breeder selecting your puppy?

YESNO

Puppy Pickup* This field is required.We do not ship puppies sight unseen. If approved for a puppy, do you agree to pick your puppy up in person at the breeder's location in Anderson, CA?

YESNO

AKC Registration* This field is required.AKC limited registration is included with the purchase of a puppy. This is a non-breeding registration. An option to upgrade to a breeding registration after health clearances is only available to approved established breeders. If approved for a puppy, do you agree?

YESNO

Transfer of Ownership* This field is required.If approved for a puppy, do you agree to surrender ownership back to the breeder if you are unable to keep your dog for any reason?

YESNO

Communication* This field is required.If approved for a puppy, do you agree to keep the breeder current on contact information and to provide an annual update with photograph of your dog?

YESNO

Physical address where Puppy will live* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Type of Home* This field is required.Check all that apply

Apartment or Condominium

House on city lot

House on acreage

Applicant owns the home

Applicant rents the home

If renting, do you have written landlord permission for a new dog?* This field is required.

YESNO

Are you familiar with local ordinances regarding dog ownership?* This field is required.

YESNO

Household MembersPlease list names with ages of all persons residing in the home.

Special Needs for Household MembersDo any household members have special needs, medical or otherwise? Please explain, no need to identify a specific family member.

Household PetsPlease list current pets including species, breed, and age.

Special needs for Household PetsPlease list any special needs of current pets.

Anticipated household visitorsCheck all that apply

Infant/Toddler

Preschoolers

Grade schoolers

High Schoolers

Adults

Seniors

Friends' pets

Other

Inside attributesCheck all that apply

Stairs

Tile or Hardwood Flooring

Carpet Flooring

Laminate or Vinyl Flooring

Other

Outside AttributesCheck all that apply

Physical Fenced Yard

Invisible Fenced Yard

Unfenced Yard

Run

Kennel

Fenced Swimming Pool

Unfenced Swimming Pool

Lakes, ponds, streams, rivers

Other

How many dogs has the Applicant owned previously?

How many dogs has the Co-Applicant owned previously?

Have any household members ever owned a Golden Retriever?* This field is required.

YESNO

Activities with Current or Previous Dogs* This field is required.Check all that apply.

Family Pet

Upland Hunting

Waterfowl Hunting

Hunting Tests

Field Trials

Nose/Scentwork

Competitive Obedience

Agility

Volunteer work

Other

Any activities not listed above?Please describe below.

Nutritional history of current or previous pets.* This field is required.Please check all that apply.

Commercial Kibble

Commercial Canned

Commercial Fresh

Commercial Raw

Homemade Cooked - Lab Tested

Homemade cooked

Homemade Raw - Lab Tested

Homemade Raw

Grain Free Commercial

Other

Has any household member ever rehomed a pet or surrendered a pet to a shelter?* This field is required.

Please select Yes or No

If yes, please explain in detail.

Sex of Puppy* This field is required.Please choose

Either

Male

Female

Primary Purpose* This field is required.Check all that apply

Family Pet

Upland Hunting

Waterfowl Hunting

Retrieving Hunt Tests

Flusher Hunt Tests

Retriever Field Trials

Competitive Obedience

Agility

Nose/Scentwork

Volunteer Support Animal

Other

Family Activities Including Your Dog

Family Activities NOT Including Your Dog

Who will be the primary trainer?

Applicant

Co-Applicant

Other

Please, briefly describe your training style?

Where will your puppy sleep?Check all that apply

House

Garage

Crate

Kennel

Outside Yard

Run

Other

Daytime Accommodations

House

Garage

Crate

Kennel

Yard

Run

Other

Time aloneHow many hours a day during the work week will your puppy be left alone?

CareHow do you plan to care for your puppy when you are away?

TemperamentPlease describe the temperament traits you are seeking in a dog.

MembershipsCheck all that apply

Local Retriever Club

Local Dog Club

GRCA

Other Breed Club

Organized Training Group

Informal Training Group

Other

References* This field is required.

VETERINARIAN

Please enter your veterinary office email

Personal reference (NOT self, spouse, or relative.)

Please enter your reference's email

2nd Personal reference (NOT self, spouse, or relative.)

Please enter your 2nd reference's email

References

VETERINARIAN

Please enter your veterinary office email

Personal reference (NOT self, spouse, or relative.)

Please enter your reference's email

Additional InformationAnything else you'd like to tell us?

Done!* This field is required.This completes the preliminary inquiry of our application process. If you are approved for a puppy, these answers will assist us in choosing your puppy. Please review the answers for accuracy. Do you certify that these answers are accurate?

YESNO

Applicant Signature* This field is required.Use your mouse or touch pad to scribe a signature. The form will not submit unless signed. Thank you.

Co-Applicant Signature* This field is required.Use your mouse or touch pad to scribe a signature. The form will not submit unless signed. Thank you.

REDTAIL Golden Retriever Inquiry/Application