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Glenbern Golden Puppy/Dog Application
By filling in the Application it does not constitute a contract on my part to provide you with a puppy, nor does it obligate you to take one.
IF YOU DO NOT RECEIVE A REPLY WITHN 48 HOURS PLEASE CHECK YOU SPAM FOLDER.
Have you read the FAQ page as it answers most questions, including price (3,000.00 plus HST)?
What is your time frame for getting a puppy?
ASAP
3 to 6 months
6 to 12 months
Are you interested in
Puppy
Older puppy
Older dog
What is your preference?
Male
Female
Either
First and Last names of Primary Caregivers:
Email:
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone Numbers?
I do require a 5' tall securely fenced yard, with a gate and access to the yard through a door from your house.
Do you have a securely fenced yard?
If you do not it is a prerequiste that the yard be fenced prior to taking the puppy home.
Do you have a swimming pool? Do you have a fence around it separate from the rest of the back yard? If you don't, how do you plan to keep the puppy/dog safe?
Please provide the ages of the adults/children living in the residence.
Do you have grandchildren or children that visit regularly?
Is there anyone in the household with allergies, asthma?
Do you have any health issues/disabilities that will limit your ability to care for your puppy/dog?
Is there anyone in the household/family/nanny that doesn't like, does not want or is afraid of puppies/dogs? Please explain.
Do you live in a house, townhouse, condo, apartment? Please describe.
Do you own your home, rent or reside with others?
Do you work full time?
Are you able to take some time off when the puppy/dog comes home? How long?
Are you prepared to have someone come in to feed/exercise and let your puppy/dog out while you are at work?
On average how many evenings a week are you away from home i.e. kids activities, sports, gym, classes etc.
Why do you want a puppy/dog?
What research have you done on the breed?
Are you aware that a golden retriever requires at least 2 hours of exercise a day once mature, rain or shine. Are you able/willing to dedicate this time to your dog?
Are you planning on getting Pet Health Insurance? Are you aware of the costs of owning a dog now?
Have you ever raised a puppy before (not including a family pet while growing up)? What research have you done on raising a puppy?
Where will the puppy/dog be kept when no one is home i.e. kitchen, family room, outside, in the garage, basement etc.?
Where will this puppy/dog be kept when you are home?
Do you currently have other pets? Describe current pets (cat, dog, sex, ages, temperament, health, neutered, spayed etc. Will they adapt to a puppy/dog?
Have you had pets in the past? What happened to them? If deceased what they died from and at what age?
Have you had any behavioral issues with current or past pets? If so how did you resolve these issues?
Are you planning on getting another puppy/dog other than this one? When? What breed?
Are you willing to crate train?
Are you willing to take your pup/dog to obedience classes?
Who will be responsible for training your pup?
Where do you plan to walk this puppy/dog? Will this puppy/dog be allowed to run off lead under supervision while on a walk?
Are you planning to take this puppy/dog to dog parks, doggie day care, kennels?
Are you planning any big events in the next year i.e. new baby, new job, moving, taking care of elderly parents etc.?
What do you and your family like to do in your spare time?
What traits are you looking for in a puppy/dog that would help me place the right puppy/dog with you i.e. activity level, temperament, size, color, personality etc.?
What are you interested in a puppy/dog for i.e. companionship, conformation, breeding, obedience, agility, tracking, field, therapy etc.
Are you interested in the Guardianship Program? You must live within an hour of Perth to participate.
How did you hear about Glenbern?
Any other questions/information you would like to include?
Do you agree that the information provided by you is accurate and true?
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