Puppy Application

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number

Area CodePhone Number

Phone Number Work

Area CodePhone Number

Do you own your home

Marital Status married:

Does your spouse/significant other share your desire for a puppy :

Occupation:

Spouses Occupation:

Do you have Children, (if so how many & ages):

How did you hear about Starlings:

Why have you choosen a Dachshund /Golden

Have you familiarized yourself with the breed: (size, grooming, feeding, medical care, exercise needs, etc):

Have you ever owned a Dachshund /Golden

Do you currently own any other pets:

If Yes : Breed Age: Spay/Neuter Status:

Have you ever removed a dog from your care due to: (Temperament Problems, Personal Changes in your Life, Allergies etc)

Veterinarian’s Name:

Can your Vet be contacted for references:

Who will care for your puppy during working hours

Who will be the primary caretaker of your new puppy:

What sex puppy are you looking for

Do you have a color Preference:

Do you have a securely fenced yard:

Please tell us your plans for exercising and housing, your new Dachshund/Golden

What are your main goals for wanting a Golden: companionship/love/friendship Companion: Show/Obedience/Agility/Field work: Breeding:

Do you agree to have your Dachshund spayed/neutered:

Are you willing to take your puppy to Obedience/Socializing Classes

Are you in favor of crate training:

Will you be willing to keep in contact with us regarding the puppy: (ie: photos, emails, phone calls etc):

If you have any other information that you feel would help us in choosing you to become a Parent to one of our Dachshund, please feel free to tell us here:

Thank you for taking the time to fill out the above questionnaire. Once the application has been reviewed we will contact you to set up an appointment for an interview !

If you have any questions please feel free to contact us !

We look forward to meeting you and thank you for your interest in Starling Goldens

Julie & Steve Starling

http://starlingsgoldenretrievers.com/