Puppy/Adult Dog Application Name of Applicant Name of Co ...

Brianne Goldens Puppy/Adult Dog Application

Date

Name of Applicant

Name of Co-Applicant (if one)

Address Zip

Telephone Home:

Work:

Email

1. Why are you interested in a puppy/adult dog in general and a Golden in particular?

2. Do you have a preference as to Male or Female? If so, please state: Why?

3. In addition to being a family companion, do you have any other interests for your dog?

Conformation

Obedience/Rally

Tracking

Hunting

Field/Hunt Tests

Agility

Therapy dog

Other (please specify)

Have you titled dogs in any of these areas? What titles?

Brianne Goldens Puppy/Adult Dog Application

4. Do you own or rent your home/apartment? If you rent, does your lease allow pets and if so, is there a weight/size limit?

5. Do you have a fenced back yard? What type, size and height Would you consider fencing, if not currently fenced?

6. What are your expectations as to the energy level of your puppy/adult?

Very Active

Active Mellow Inactive

7. What are your expectations as to the amount and kind of exercise requred by a Golden puppy or as an adult?

8. What do you estimate it will cost to give this dog proper care per year? $

9. How many adults reside in your home?

How many

children?

Names and Ages of children

Brianne Goldens Puppy/Adult Dog Application

10.Will someone be home during the day? hours will the puppy/adult be left alone?

If not, how many

11.Who will be primarily responsible for this dog?

12. What training methods will you use with your puppy/adult?

13.Except for puppies sold as show prospects, we place puppies on an

AKC Limited Registration contract. This means that this dog is not to

be bred as progeny would not be responsible by the American Kennel

Club. We require that these puppies be spayed or neutered. Do you

have a problem with this policy? Yes

No If yes, please

explain:

14. Where will your puppy/adult live? In the house In a kennel

Outdoors

15. Have you owned pets before? What kind(s)? What happened to them?

Brianne Goldens Puppy/Adult Dog Application

16. Do you currently have other pets? Yes No What kind?

17. How did you learn of Brianne Goldens?

18.Please give names and phone numbers of two references not related to you whom we may contact:

19. Are all the adults in the family employed Full time Part time

20. Would you have any objection if the breeders kept in touch with you

occasionally? Yes No

Are you willing to keep in touch with the breeders regarding the

puppy/adult's well being and regarding any problems you may be

having?

Yes

No

21. Are you a member of the Golden Retriever Club of America?

Yes

No

A local Golden Retriever Club

Yes

No

Thank you for contacting us about a Brianne puppy/adult. This application is non-obligatory on the part of both applicant(s) and breeders. Receipt of this application by the breeders does not necessarily mean that a puppy or adult will be available for you.

Brianne Goldens

319 Denny Rd. Valencia, PA 16059 (724)355-5106 e-mail: anne@

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