Mountain Goldens Puppy Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Which litter are you interested in?
How did you hear about us? Who referred you?
Are you looking for a puppy or older dog?
Why have you decided to purchase a Golden Retriever?
Conformation/Breeding
Family Companion
Agility
Obedience/Therapy Work
Tracking/Field
Who will be primary caregiver?
What is your occupation?
What days and hours do you work?
Who will be home with your puppy during the day? Night?
Are you willing to crate train your puppy?
Yes
No
Maybe
Which sex do you prefer?
Male
Female
No Preference
What are you looking for in a puppy?
What type of housing do you live in?
House
Apartment
Condo
Do you own or rent?
If you rent list your landlords name and phone number? *required
Do you have a fenced in yard?
If you do not have a fenced in yard how do you plan on keeping your puppy safe outside?
Do you agree to not let this dog run at large in an unsecured area?
Do you agree to never chain or tie this dog to a stationary object or never to leave it in a garage?
Do you agree to never let this dog ride in the back of an open vehicle?
Do you have any other pets? If so tell us about them…i.e.: breed, sex, age
What do you expect the activity level of your puppy to be?
What do you know, if anything, about golden retrievers?
Have you ever owned a golden before, from whom did you acquire it?
Who will groom your new puppy/dog and how often?
Who lives with you? Do you have children? Please list ages.
Do you agree to provide your puppy with the best medical care when needed?
Do you understand the differences between a limited and a full registration with the AKC?
Do you agree to spay/neuter this dog if it’s a family companion and provide breeder with proof?
If dog/puppy is purchased for show/breeding purposes, do you plan to title it?
If purchased for show/breeding purposes, do you agree that prior to breeding you will obtain the correct health clearances and provide copies to the breeder?
Do you agree to permanently identify your puppy either with a microchip or tattoo and register it?
Are you involved in any dog-related activities? If so which?
Are you willing to take your pup to obedience classes and become a Canine Good Citizen?
Please provide references that we may contact, one of them being your vet.Name:Phone Number:E-mail Address:
In the event that you cannot keep this dog do you agree to give Breeder first option to take it back?
Is there any other information that you would like to share about yourself?
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