Name *
Email Address *
Street Address
Address Line 2
State / Province / Region
Postal / Zip Code
How did you learn about us?
Why have you decided to buy a Golden Retriever?
Do you Prefer a male or female
If your choice isnt available
Do you have children
How old are they
Do any family members have allergies to dogs?
Have you ever put a dog to sleep?
Do you own your home?
Do you live in a house or apartment?
Where will the puppy be during the day?
Will someone be able to potty the puppy?
Do you have a fenced yard?
Do you have a chain link kennel run?
Have you ever had a puppy?
If so, what breed?
Who will train this puppy?
Have you ever crate trained a puppy?
If "no" why not?
Have you ever completed an AKC title?
If yes, what titles have your dogs earned?
What personality do you want in a puppy?
Additional information to help us pick your puppy?
How much do you expect to pay for a puppy?
Will your puppy live primarily in the house
Do you currently have any other pets?
If so please list.
Do you agree to have your puppy spayed/neutered?:
Are you willing to obedience train your puppy?
Please list three references including your vet
Other information you would like to share
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