Puppy Request Form

Thank you for your interest in one of our puppies!
Please take a few moments to complete this form. Your answers help us get to know you and determine if one of our puppies may be a good fit for your home.

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Name *

First

Last

Email *

Phone Number *

Your Location *

Please tell us a little about yourself and your family. *

Do you live in a house, apartment, townhome, or another type of home? *

Do you currently have any pets? If so, please tell us what kind. *

Have you had a Golden Retriever before? *

• Yes
• No

Gender Preference *

• Male
• Female

What will the puppy's role be? (Companion, Service, Therapy, Show, Field, Breeding, Pet or other?) *

Where will the puppy spend most of their time? *

Will there be someone home during the day for your puppy? *

• Yes
• No
• Part of the day

How do you plan to exercise your Golden Retriever? *

Do you agree that dogs are part of the family, and that they are a lifelong commitment? *

Do you agree to spay or neuter your puppy at the appropriate age? *

• Yes
• No

Have you ever rehomed a pet? If yes, please explain the circumstances. *

How did you hear about us?

Is there anything else you would like us to know?

Submit

• Facebook
• Instagram
• Google
• Mail
• Yelp
• TikTok