Please specify which litter you are interested in:  

For what purpose(s) are you purchasing a Golden Retriever?

Do all family members want a new puppy?  (yes/no)

Are there children in the Family?  (yes/no)
Gender & Ages:

Do any family members have allergies to dogs?  (yes/no)

Have any family members ever been bitten by a dog?  (yes/no)
If yes, please describe below:

Are any family members afraid of dogs?   (yes/no)
If yes, please describe below:

Do you: Own Rent Lease  your principal residence.        Do you live in a: House Townhouse Apartment

Where will the puppy be accommodated during the day: House Crate in house Dog run with dog house Yard with dog house Other

If other then please describe:

Is someone home during the day, or able to get home to "potty" the puppy? (Yes/No)

If "no", what kind of arrangements will you be making for your new puppy?

Do you have a securely fenced yard?   (yes/no)

Do you Padlock your gates?  (yes/no)

Do you have a chain link kennel run?   (yes/no)

If yes, what is the size?

Please describe yard size and fencing:

Are there neighborhood restrictions on owning a dog?  (yes/no)

Are you committed to care for this dog's needs for his/her lifetime?  (yes/no)

Do you have other pets?  (yes/no)
If yes, please describe (breed & age)

If your first choice (male or female) is not available would you be willing to take a puppy
of the opposite sex or would you wait for another litter?  (yes/no)

Are you willing to take this dog to obedience classes so that he will become
an enjoyable companion and a good canine citizen?  (yes/no)

Have you ever owned a puppy?  (yes/no)
If yes, when and what breed?

Who will train this dog?

Have you ever crate trained a puppy or dog?  (yes/no)
If no, please describe why:


Have you ever completed an AKC title?   (yes/no)
If yes, please list completed titles:

What type of personality are you looking for in your puppy?

Are you willing to spay and neuter prior to 12 months of age? (yes/no)

Please include anything else that will help us place the right puppy with you:
What type of personality are you looking for? (Examples: couch potato, middle of
the road, very active, independent, etc.)

Reference(s)
Please name 2 person (s)  that we could contact for references.
Please include one being name of the veterinary clinic who knows you?
List name (s), phone number (s) and email (s)
  

SHOW PUPPY CLIENTS:

Have you had a Show Dog before? (yes/no)

If yes, who was your Handler?
 

Have you ever completed an AKC title? (yes/no)
If yes, please list completed tittles:

Are you familiar with Co-Ownership with your Breeder?   (yes/no)

Are you familiar with the standards and specifics of AKC, OFA, CERF?  (yes/no)

Are you aware that the expenses associated with showing may run $1000.00 to $1500.00 per month?(yes/no)

Are you comfortable with your puppy being away from you for long periods, from 6 months of age until finished?(yes/no) 

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.

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).

Please review and then submit this completed questionnaire.  We will contact you via
Email as soon as possible regarding the availability of our GoldenGael puppies.