Name *

First Name

Last Name

Spouse / Partner Name

First Name

Last Name

Phone *

(###)

###

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Will this be the first puppy you have ever owned? *

Yes

No

What is the reason you're looking for a puppy? *

Pet

Therapy Dog

Show Dog

Breeding

What is your housing situation? *

Home

Apartment

Townhouse

Other

Do you own or rent your home? *

if renting, you need to make sure you are allowed to have a pet.

Own

Rent

Does anyone in your household have pet allergies?

Yes

No

Do you have any other pets? *

Dog

Cat

None

Other

Do you have a yard? *

Yes

No

When are you planning to adopt a puppy? *

Now

in the next 6 - 12 months

in the next 12 months+

Do you prefer a male or a female? *

Female

Male

No preference

If your gender preference is not available, are you willing to switch to the opposite sex? *

Yes

No

Who will be the primary caregiver of the puppy? *

Self

Spouse / Partner

Child

Other

Do you have children at home? *

Yes

No

Do your children have experience with dogs and puppies?

Yes

No

How much time do you expect the puppy to spend alone in your house during any given day? *

0-4 hours a day

4-6 hours a day

6-8 hours a day

Are you willing to follow nutrition recommendations? *

Yes

No

Despite best breeding practices, health problems may still occur. Are you aware of the potential health risks of Golden Retrievers? *

Yes

No

Are you aware that Golden Retriever puppies can be very active and may be destructive if not given appropriate enrichment and excercise? *

Yes

No

Are you willing to take the puppy to obedience classes? *

Yes

No

Are you purchasing this puppy for breeding purposes? *

Yes

No

Our puppies are sold on AKC Limited Registration. This means that the puppy must NOT be bred; we do not sell our dogs for breeding purposes. Do you agree to the limited registration terms? *

Yes

No

Will you agree to spay / neuter the puppy AFTER one year old and before the age of 2? *

Yes

No

Do you understand that if at any time you cannot keep your Golden from Claiborne Golden, you are not to release him/her to a Humane Society, Animal Shelter, or private rehoming? Instead you are to contact the breeder for help with rehoming or returning to breeder and will sign a contract agreeing to this. *

Yes

No

Do you follow us on Instagram? @Claibornegolden

Yes

No

Reference #1 Name: *

First Name

Last Name

Reference #1 Phone Number: *

(###)

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Reference #2 Name: *

First Name

Last Name

Reference #2 Phone Number: *

(###)

###

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