Puppy Application

Buyer Name

Spouse name (if applicable)

Address

City / State

Zip

Main Phone

Alternative Phone

Email Address

Occupation

Children in Home (Please list first names and ages)

Preferred Gender of Puppy Preferred Gender of Puppy Male Female

Will you take the other gender? Will you take the other gender? Yes No

Which of our females Interest you? Are certain puppy characteristics (temperament, size, color, head shape etc.) important to you? Please list them and rate their importance 1 to 5 (5 very high, 4 high, 3 average, 2 low, 1 very low)

Please list any other pets in the home

Will pup be spayed or neutered? Will pup be spayed or neutered? Yes No

Have you owned a Golden previously? Have you owned a Golden previously? Yes No

Where will the puppy sleep and play?

Is everyone in the home in complete agreement about getting the puppy? Is everyone in the home in complete agreement about getting the puppy? Yes No

How soon are you looking to get a puppy?