Email address
Please list family members in this household such as a spouse or roommate and children. If there are children, please include their ages
Are your children good around dogs and other animals?
Is there someone home during the day, or able to get home to "Potty a Puppy"?
Name, age and full address including phone number:
Do you have a fenced yard, if not how do you plan on keeping the animal on your property?
Where will this puppy spend the day?


Will this puppy have regular contact with its family during the day?


Where will the puppy spend the evening/night?


Will the puppy have regular contact with its family during the evening/night?


Where will this puppy sleep?


What type of personality are you looking for in your new dog?

Please give me any other information you think will help me get to know you and your needs
with respect to placing a puppy most suited to your family/lifestyle


what sex are you interested in M/F

Would you consider a puppy of another sex if your preference is not available?
Do you want a dog for:

Show

Obedience

Pet/Companion

Guard dog

Breeding

Child

Other please explain
Are you aware that Golden Retrievers shed sometimes profusely?


Have you ever owned a Golden retriever before?
If you haven't what other breed have you owned?



Do you still have the dog mentioned above?


Have you had in the past any significant difficulties with the dogs you have owned? If so please explain



Have you ever given up a dog to a shelter or pound? if so Why?



Who will have primary responsibility for the care of this puppy?


Do all family members agree on the addition of a Golden to the family?


If not, who is not in favor of getting a Golden and why?


** Please supply me with the name address and phone number of your vet or someone that has worked with you in the past.





** please give me the name, address and phone numbers and email address if available of two or more references, preferably people who have knowledge about dogs. If this is a show puppy, other active exhibitors are preferable.






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