EmailMe Form - English Golden Retriever Puppy Application

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Email

Approximately how many hours a day will the puppy be alone?

Seldom

1-3 Hours

3-6 Hours

6-9 Hours

The puppy will go to daycare when I (we) are unable to be with them for extended periods of the day for work and other such things

Will someone be home with the puppy the majority of the time?

Yes

No

Where will the dog stay when you are unable to be with him/her?

Are you looking for a male or female puppy?

Male

Female

Doesn't Matter Just Need A Puppy Fix

Who will be the primary caregiver for the puppy/dog?

Have you ever owned a dog before? If so what breed and how was the experience for you?

Do you currently have other pets living in your home? If so please tell us a little bit about your other critter members.

Do you understand that our puppies are sold on Limited AKC Registration? Please refer to our FAQ'S page of our website for more information.

I have read and I understand

Why are you interested in an English Cream Golden Retriever? Have you ever had one? What kinds of activities are you hoping to do with your new Golden Retriever?

Are you able to exercise & play with your dog daily?

Are you looking to do any of the following activities with your new addition?

What are the most important qualities you are looking for in your new Golden addition?

Please take a moment and let us know anything further that you would like us to know. If you have a vet or someone that you can use for a personal reference please include their contact information here.

Have you read the FAQ'S page of our webiste and do you understand our policies?

Yes

No

Have you read our Puppy Pick Up page on our website and do you understand these terms?

This box must be checked to continue with the puppy adoption process. Please read our Puppy Pick Up Page of our website.

Yes I agree

Do you agree to obtain puppy insurance on your puppy for the first two years of life?

Puppies get into everything and you never know what might happen. Like children, puppies put everything in their mouths and it is very expensive to have a vet visit in the middle of the night or on the weekend. For this reason, I require everyone to get puppy insurance for at least the first two years.

I agree to get puppy insurance