Name
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First Name
Last Name
Partner's Name (if applies)
First Name
Last Name
Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Occupation
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Partner's Occupations
How did you learn about us?
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Why have you decided to purchase a Golden Retriever?
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Please share more here....
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Male or female
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Male
Female
Undecided
For what purpose(s) are you purchasing a Golden Retriever?
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Are there children in the family
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Yes
No
Gender and age of children (if applies)
Do any family members have allergies to dogs?
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Have any family members ever been bitten by a dog?
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If yes, please describe this occurrence.
Are any family members afraid of large dogs? if YES please describe below.
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Is someone home during the day, or able to get home to "potty" the puppy? If "no", what kind of arrangements will you be making for your new puppy?
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Do you have a securely fenced yard?
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Yes
No
Do you have other pets? If "yes" please describe.
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Have you ever crate trained a puppy or dog? If"no" please explain why.
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What type of personality are you looking for in your puppy?
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Are you considering breeding this puppy? If you are considering breeding this dog, are you prepared to obtain all of the following necessary clearances before breeding (OFA Hip & Elbow clearances, CERF Eye clearance, SAS Heart clearance by a board certified cardiologist)?
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Are you willing to spay/neuter this dog?
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Yes
No
Please include anything else that will help us place the right puppy with you.
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Please name 2 people that we may contact for references.
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Please include one being name of the veterinary clinic who knows you. Please include name, phone number and email.
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Upon completion and submittal, I understand that sending this application does not automatically entitle me to a dog. I understand that this application is just a beginning step in the interview process. Please note: All of our companion or pet puppies are sold with AKC Limited Registration and spay/neuter contracts. This means that the dog is registered with AKC, however none of the offspring are eligible for registration. A dog with a Limited Registration as well as a spayed or neutered dog can compete in all AKC events except in the Conformation classes (breed ring). All puppies are sold for $3,000.00 each and a $1,500 deposit is required to reserve your puppy. We will contact you by email as soon as possible regarding the availability of our puppies. Thank you!
