****PLEASE COPY AND PASTE IN AN EMAIL TO Our Email address
Name: _________________________________________________________________________
Address ___________________________________________________________________________________
Home Phone _______________
Work Phone _______________
Cell Phone __________________
Email Address _____________________________________________________
Sex: (circle or highlight one): Male Female.....
Will You Take Other Sex (circle or highlight one): Yes No
Are you willing to neuter/spay your puppy? (Nore: if you are not willing to neuter/spay, then do not send this questionnaire
to me, as I require all of my puppies to be spayed/neutered) Yes No
Color Preferred: Light Gold or Medium Gold...
(***we do not have any Dark Gold available in our lines at this time)
Temperament desired, please give as much detail as possible in this section...noting your family's needs as well. This
will help me to match the puppies to their potential owners.
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Tell us about the people living in your home:
Children? Yes No
Their ages: _________________________________________________________________________
Other adults: ________________________________________________________________________
Do you work full time?________________________________________________________
Where will your dog stay during the day?
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Do you have a fenced yard?
___________________________________________________
If not, do you have time for daily walks?____________
Do you plan to crate train your puppy? If not, please explain your method of housebreaking your puppy.
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Have you owned a golden previously ?______________________________________________
If No, have you done any research on the breed? (Explain) Yes No
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Do you presently own a golden? __________Age of golden: ______________________________
Have you ever owned a dog? Yes No..
Do you presently have other animals? Yes No...
How many?
What kind? ________________________
If yes, have they ever been around other dogs or puppies? Yes No
Do you have a trusted Veterinarian? Yes No
Name and Phone Number:________________________________________________________________
What are your plans for training your puppy?
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What are your hopes, dreams, and plans for your Golden? (ex: We want a playmate for our kids, I want a therapy dog, an
everyday companion, I want a jogging partner; I want to get into the show ring, etc.)
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