Application to Buy | English Cream Golden Retriever Puppies

Name *

Email *

Street Address *

Address Line 2

City *

State

Zip Code *

Phone *

Please describe each household member, please include children and their ages: *

Occupations of all working people in the household & what hours you work: (Ex: Bob – Husband, Lawyer, Mary – Wife, Doctor) *

What hours & where will the puppy be left alone during the day? *

Where will this puppy sleep at night? *

What is your reason for purchasing this dog? *

Have you ever owned any other breed of dog? *

What were the positives and negatives of owning this dog? *

Why did you choose a golden retriever? *

Do you plan on breeding this puppy? *

Any color preference? *

Are you looking for a male or female puppy? *

If your first puppy choice were not available, would you be willing to purchase a dog of the opposite sex or a diferent color? *

Do you own your home? *

Is there a fenced yard? *

If so, how large is your home and yard?

Do you plan on moving in the next 5 years? *

Are you an active military family? *

Do you operate a childcare facility in your home? *

Please list any other pets that you have in your home:

Have you or a neighbor lost a dog to Parvo within the past 2 years? *

Have you ever been charged with animal abuse or neglect? *

Have you ever given up a dog to a new owner, shelter or rescue group? *

If yes, please tell us why:

Please provide any information you think would help us to get to know you with respect to placing a puppy most suited to your family/lifestyle:

Application