Damita Golden
Retrievers ~ Puppy Application
Your assistance in completing this
application will help us to place the right puppy in your home.
All information will be kept confidential and used only by us.
Thank you for your cooperation and interest in our dogs.
Please copy and paste into an email and send to
damita@drytel.net
How did you hear about our dogs? _______________________________________________
Your name: _______________________________________________________________
Home phone# __________________ email address: __________________________
Home address: (if you use a PO Box for mailing can you please also
include your actual street address)
_________________________________________________________________
Occupation's (this is important as it will indicate to us how much time
the puppy will be spending at home by it's self):
___________________________________________________
1) Why have you decided that the Golden Retriever is the breed you wish to own? ___________________________________________________________________
2) Have you ever owned a Golden Retriever before or any other
breed of dog? __________________________________________________________________
3) Are you looking for a young puppy ______ or an older dog
________
4) Is your preference a male ____ or female ____, light, medium or
dark in coat color _______
If your first choice is not available would you be willing to take a
puppy of the opposite sex or different color, or would you wait for another
litter? __________________________________
5) What is the most important thing you are looking for in a new
puppy/dog?
_________________________________________________________________________
6) What is/are the main reasons for purchasing a Golden Retriever (please check all that apply): family
companion ______ Show prospect ______ Breeding ______ Obedience
competition ____ Hunting/Field work ____ Agility _____ Pet therapy _____
Tracking _______
7) Are all members of the family ready for a new dog? __________
Will there by any major changes in your life style in the next year? (example moving, marriage or a new baby?)
______________________________________________________________
8) Do any members of your family have any type of allergies to
dogs? ___________________
9) Do you live in a house, townhouse, condominium etc.
______________________________
10) Do you own or rent where you presently reside? ______________ If you rent have you discussed having a dog with your current landlord?__________________________
11) Is your yard completely fenced with a secure fencing?_________________________ If not, how will you provide
security for your puppy when its outside or you’re away?
__________________________________________________________________
12) Do you currently own any other pets? ____________________________________
13) Age of children in the home?__________________________________________
14) Would someone be home with the dog during the day?
_______________________ Are you willing to crate train your new puppy? ________________________________
15) Where would the puppy or dog be housed during the day if no one
is home? ____________ Where will this puppy spend the
evenings? __________________________ Where will the
puppy sleep? ________________________________________
16) Are you willing to take this puppy to puppy socialization
classes and then on to obedience classes so that it will become an enjoyable
companion and good canine citizen? ____________ Who in
your home would be doing the training? ___________________
17) Have you ever completed a CKC or AKC title in conformation,
obedience, field, tracking or agility? _____ If yes
please list ___________________________________________________
18) Who will have primary
responsibility for the care of this puppy? ________________
19) Have you ever had to euthanize a puppy or dog other than for
old age? ____________________________________________________________
20) Who will groom your golden? _________________________ Are you prepared for the constant
shedding? _______________ Tracking in
mud? ______________________
21) When this puppy is purchased as a family companion and is not
going to be bred, do you agree to have it spayed by 9 months if it is a female
or neutered no later than 1
8 months if it is a male and submit a veterinarian certificate to the breeder as
proof of surgery for her records? _________________
22) Are you willing to contact us and keep us informed of any
problems that may develop with the pup throughout it’s
entire lifetime? _____________
Send us updates/photos periodically? ____________
23) What type of Personality are
you looking for in your dog? _____________________
__________________________________________________________________
24) Do you know the Golden Retriever breed standard? ________________________
If you have anymore additional information that would be helpful; to us,
in placing the right puppy or dog with you, please feel free to add it below
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank you for taking the time to fill out this application to assist us
in finding the right puppy for you. Please feel free to call us if you
need more information or questions answered.
Date: _____________________
Signature: _________________________________________