1. First Name:
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2. Last Name:
*
3. Spouse/Partner First Name:
4. Spouse/Partner Last Name:
5. Email:
*
6. Spouse/Partner Email:
7. Home Phone:
*
8. Cell Phone:
*
9. Spouse/Partner Cell Phone:
10. Address:
*
11. City:
*
12. State:
*
13. Zip Code:
*
14. Your Occupation:
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15. Spouse/Partner Occupation:
16. If you have children, please list their gender and ages:
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17. If you have other pets, please list their species, breed, gender and ages:
*
18. Who referred you to Tangleloft Goldens?
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19. Do all family members want a new puppy?
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Yes
No
20. What makes you want to purchase a Golden Retriever puppy?
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21. Do you prefer a male or a female?
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Male
Female
Either
22. Please explain reason for preference.
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23. For what purpose(s) are you purchasing a Golden Retriever puppy?
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24. What type of personality are you looking for in your puppy?
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25. Please include anything else that will help us place the right puppy with you.
*
26. Do you live in an apartment, house, townhouse?
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Apartment
House
Townhouse
27. Do you have a fenced yard?
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Yes
No
28. Please describe your yard, including the size and fencing.
*
29. If you have owned/raised a puppy before, please describe including when and what breed?
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30. If you have ever owned a Golden Retriever, from whom did you acquire it?
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31. Who will train this puppy?
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32. Please describe where the puppy will be during the day?
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33. Please describe where the puppy will be during the night?
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34. Will someone be home during the day to house train the puppy?
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Yes
No
35. If "no", what kind of arrangements will you be making for your new puppy?
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36. Have you ever crate trained a puppy or dog?
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Yes
No
37. If no, and you have had a puppy, please describe your decision not to crate train?
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38. In spite of the best care and the best breeding practices, health problems may occur that require surgery or extensive treatment. These problems can include but are not limited to: hip dysplasia, allergies, cancer, accidental poisoning, and auto accidents. Can you afford good veterinary care and are you willing to invest in your puppy in the event of health problems?
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Yes
No
39. Are you willing to abide by a contract that specifies matters regarding registrations, health, breeding, and general care requirements?
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Yes
No
40. When this puppy is purchased as a family companion and is not going to be bred, do you agree to have it neutered/spayed no sooner than 1 year of age?
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Yes
No
41. Will you agree to spay or neuter the puppy?
Yes
No
42. Are you willing to take this puppy to obedience classes so that he/she will become an enjoyable companion and good canine citizen?
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Yes
No
43. If not purchasing a puppy for conformation showing, will you accept a limited registration (does not allow offspring of your pup to be registered or your dog to compete in conformation)?
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Yes
No
44. Are you interested in joining the National Golden Retriever Club and/or the local Golden Retriever Club in your area?
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Yes
No
45. Are you interested in your dog for (select all that apply): *
*
Companion
Hunting
Agility
Conformation
Tracking
Therapy
Obedience
Rally
Dock Diving
46. Until your dog is at least two years old are you willing to keep it thin, on an adult premium dog food, and not expose him to exercise that jeopardizes joint formation?
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Yes
No
47. Are you willing to keep the dog on heartworm preventative and safe flea/tick control products?
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Yes
No
48. Is there anything else you'd like to add regarding you and/or your family?
*
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