GAZEBO GOLDEN PUPPY APPLICATION
Puppy Application

Name

First

Last
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone Number

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Email
Website
How Did you learn about us?
For what purpose are you purchasing a Golden Retriever pup?
 Pet 
 Show 
 Hunting/Field 
 Breeding 
 Obedience 
 Agility 
Are there children in the family?
If yes, list ages of children.
Do you have a fenced yard?
 Yes 
 No 
Do you have other pets?
 Yes 
 No 
If you have answered yes, please describe the pets you currently own
Have you ever had to give away or euthanize a pet?
 Yes 
 No 
If yes, please describe
Have you ever owned a puppy before?
 Yes 
 No 
Do you prefer a Male or Female Puppy?
 Male  
 Female  
Would you be willing to take a puppy of the opposite sex if your first choice isn't available?
 Yes 
 No 
Are you willing to take your puppy to Puppy Class and Obedience Class so that he will be an enjoyable member of your family?
 Yes 
 No 
Are you willing to crate train this puppy?
 Yes 
 No 
Are you willing to spay/neuter this puppy?
 Yes 
 No 
Are you commited to caring for this puppy for his/her lifetime?
 Yes 
 No 
Please list 2 references who we may contact, one being the name of your veterinary clinic if you previously owned pets. Please include name, phone number & email address
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