Your Name:
Your E-mail address:
Your mailing address:
Your home phone number:
Your work phone number:
Your occupation:
How did you learn about us?
Why do you want a Golden Retriever?
Do you prefer a male or a female? Why?
If the sex you prefer is not available,
will you accept a puppy of the opposite sex?
For what purpose are you purchasing a golden? (pet, show, obedience, field, breeding, etc.)
Do all family members want a new puppy? (yes or no)
Do you have children? List ages
Will this be your family's first dog?
Do you currently own a dog? Age? Breed:
Do you have any other pets? What Types?
Does your home have a fenced yard?
Where will the puppy be kept during the day?
Where will the puppy sleep at night?
Do you plan to crate train this puppy?
Are you planning on taking this puppy to obedience classes so he will become a treasured companion and a canine good citizen?
What training facility do you plan on using?
What is the name of the veterinarian
and clinic you will be using for the puppy?
Have you used this vet before?
May we contact them for a reference?
Please tell us a little bit about what you are looking for in a Golden Retriever and what type of activities you would likely be pursuing (such as a couch potato, jogging companion, a buddy for the kids, etc).