Puppy Interest Form Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Preferred Gender: * Male Female Does not matter - Best fit for us I plan on having this dog for: * Service Dog Work Therapy Work Facility Work Agility Family Dog/Companion Other Preferred Personality: * Assertive Confident Reserved Unsure Help me find the right fit My lifestyle is best described as: * Very active Mildly active Rarely active How many hours a day will your dog be left home alone? * 8+ hours 5-8 hours 2-5 hours Less than 2 hours Why are you choosing a Golden Retriever? * Will this be your first dog? * Do you have other pets? If yes, please describe type and age below. * Do you have children? If yes, please list ages. * Who will be the primary caretaker and trainer? * Are you established with a veterinarian? If yes, please list name, address, & phone #. * Are you prepared for the financial responsibility of adding a dog to your family? (food, monthly heartworm/flea/tick preventatives, vaccines, and check ups, among other unforeseen vet bills) * Yes No Do you plan to show or compete with your dog? If so, please explain. * All our puppies are sold on AKC Limited Registration (without breeding rights) and spay/neuter contracts. Goldens are not recommended to be spayed/neutered until they are fully grown. Is this a problem? * Please tell me anything else about what you are looking for and wanting for your new dog. * How did you hear about us? * Thank you!