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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? I am only accepting applications from people who are interested in getting a puppy within the next 6 months
Are you interested in a puppy, older puppy or older dog?
What is your preference, male or female? Would you take the opposite sex if your preference wasn't available?
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 are intending to fence please submit the application once it is done.
I will only respond to applications with a securely fence yard and this question answered.
There are no exceptions. I do not consider invisible fence secure. Please see acceptable fencing on my website.
Please describe the height & type of fencing & approximate size of yard. Are you willing to email me a picture of it?
Do you have a swimming pool? Is it above ground or in ground? 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?
How many adults/children living in the residence? AGES PLEASE?
Do you have grandchildren or children that visit regularly?
Is there anyone in the household with allergies, asthma, disabilities?
Do you have any health issues that will limit your ability to bend/lift or walk 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, appartment? Please describe.
Do you own your home, rent or reside with others?
Occupations for everyone in the household, hours worked ie. 8:00 am. to 5:00 pm., midnights, shift work etc.
Are you able to take some holidays when the puppy/dog comes home? How long?
On average how many evenings a week are you away from home i.e. kids activities, sports, gym, classes etc.
Are you prepared to have someone come in to feed/exercise and let your puppy/dog out while you are at work? Who? How much time daily?
How much time on working days can you dedicate to just the puppy/dog i.e walking, playing, training:
In the morning? i.e. 1/2 hour, 1 hour etc.
At lunch? i.e. 1/2 hour etc.
In the evening? i.e. 1/2 hour etc.
Why do you want a puppy/dog?
Have you ever raised a puppy before (not 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?
Could you describe current pets (cat, dog, sex, ages, temperament, health, neutered, spayed etc. Will they adapt to a puppy/dog?
Can you tell me about past pets, what happened to them. If deceased what they died from and at what age?
Did you or do you have 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?
How do you feel about crate training?
How do you feel about obedience classes?
Are you planning any big events in the next year i.e. new baby, new job, moving, taking care of elderly parents etc.?
How much exercise in a day do you think a golden requires?
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?
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.
Would you be interested in allowing your dog to participate in my breeding program? I would do all the work and you would receive financial compensation. You must live within an hour of Perth. Please see the breeding program link on the puppies page for more info.
What research have you done on the breed?
How did you hear about Glenbern?
Any other questions/information you would like to include? Or any questions for me?
Do you agree that the information provided by you is accurate and true?
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