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Last Updated: 12/3/2021
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Puppy Application
First Name
Last Name
Email
Phone Number (cell)
Location (city, state)
Type of Residence
*
Apartment
Condo
House
Townhome
If renting, do you have your landlords permission to have a dog on the property?
Yes
No
I need to find out
What type of yard do you have?
*
No yard
Small/medium, not fenced
Small/medium, fully fenced
Large, not fenced
Large, fully fenced
Acerage
Do you have any children? if so, what ages?
*
0-5
5-10
10-15
15-20
No children
Have you ever owned a dog before?
*
Yes, but no other dogs currently
Yes, and have a dog(s) currently
No, I have never owned a dog before
If yes, which breed(s)?
Do you own any other animals?
*
Yes
No
If so, what type(s)?
Who will be puppy's primary care giver?
How many hours a day will puppy be left home alone each day?
*
0, someone is always home
0-4 hours a day
4-8 hours a day
8+ hours a day
Where will puppy be kept during the day or at night when no one is home?
Please tell us about yourselves, your family's lifestyle, activity level, hobbies, etc
Have you researched the Golden Retriever breed?
*
Yes
No
Golden Retrievers require regular brushing and grooming. If you are not able to do it yourself are you prepared to pay for a groomer?
*
Yes
No
What are your goals for your new puppy?
*
Service Dog
Therapy Work
Companionship
Hunting
Agility
Show
Breeding
Please feel free to write more about your goals for your future puppy if you would like.
Have you ever house trained and/or basic trained a puppy before?
*
Yes
No
No, but I would like advice on how to
How do you plan to train your new puppy?
*
Myself
Myself with the help of a professional
Send to Board and Train
I am not worried about training
Have you ever had to return a puppy/dog back to it's breeder? Or rehome a dog/puppy before?
Do you intend to breed your puppy?
*
Yes
No
All puppies are sold with AKC Limited registration as pets only (not intended for breeding), unless we have agreed upon AKC Full Registration.
*
I Understand
I do not understand
I would like more information about this
Are you interested in a
*
Male
Female
No preference
Do you want a
*
Puppy
Adult
Open to either
What is your preferred method of contact.
*
Phone
Text
Email
Feel free to tell us any additional information you might like to add about you and your family. (Optional)
Submit Application
Thanks for submitting!
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