Pet Adoption Application Form

Questionaire and Application

This questionaire and application is to make sure our puppies go to homes best suited for their temperaments and energy levels. This helps us to match a puppy's personality with a family's lifestyle so we may choose the best family member for you.
Your name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Do you own or rent your home?*

OwnRentLive in an apartmentOther
Do you have a gender preference?*

MaleFemaleOpen to either as long as its a good fit for your family.Undecided
Do you have children? If yes, please describe with ages.*
Describe here ages and personality of children, as well as any added info to help with a good fit for your family.
Do you have other pets? If yes, please describe with ages.*
Describe here ages and personality of pets, as well as any added info to help with a good fit for your family.
Please provide your veterinarian's name and phone number:
Do you have a yard? *

YesNoOther
If "Yes" to the above fence, is it fenced? please describe
Do you have a pool?*

YesNoOther
If "Yes" to the above pool, is it fenced? Do you know the safety of a pool with a puppy? please describe
What is your lifestyle, hobbies and interest? Please describe a typical day in your home?*
Do you understand Golden Retrievers thrive on human contact and attention as well as a family environment? Do you understand they cannot be isolated, must be part of the family and not a dog that lives outdoors?*

YesNoOther
How many hours per day would the pet be alone?*
Please describe how you will be able to meet the requirement of positive reinforcement training? *
How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet? *
Have you ever had a Golden Retriever puppy before or other puppy breed?*

YesNoOther
Are you aware puppies are ALOT of work for the first two years of their life? They are wonderful and cute but need patience with biting, chewing things, pee, poop, jumping and barking.*

YesNo
Why do you want a Golden Retriever and how do you feel you would be the best family to choose?*
I plan on having this dog for:

Service dog workTherapy dog workFacility dogAgilityFamily dogCompanion for myselfOther
Preferred Personality:

AssertiveConfidentReservedUnsureOther
Please tell me anything else about what you are looking for and wanting in your new puppy.*
Please answer yes or no that in the event you must rehome your dog, he/she will come to me in place of rehoming or taking to any form of shelter.*

Yes, we understand this is in the best interest of the puppyNoOther
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo
How did you hear about us?*
Signature*

Clear
- By clicking the submit button, I verify all of the above information is true and accurate.
Should be Empty: