:: Smoketree Goldens ::

Your name:

Phone:

Type of residence(house, condo townhouse etc):

If you rent have you discussed having a dog with your landlord:

Is your yard completely fenced:

Are all members of your family ready for a dog:

Please list your pet types and ages:

Have you ever had to euthanize a pet due to anything other than old age:

If so please tell us the circumstances:

Are you willing to keep us informed of any problems which may develope with the pup throughout it's lifetime:

We have thoroughly read and understand the above questionnaire and feel that I/we are ready to accept the responsibility of a new puppy/dog. I/we agree to provide adequate health care for our new pet and a loving and playful environment and necessary discipline. I/we agree to keep our puppy/dog at an appropriate weight for the health of our pet:

How did you hear about our dogs?

Email:

Occupation:

Spouse's name:

Home address:

Do you own or rent:

Landlord name:

Landlord contact number:

What type of fencing:

Have you ever owned a Golden Retriever or another breed of dog before:

Do you prefer a male or female:

Do you prefer a puppy or young adult:

How did you decide on a Golden Retriever:

Do any of your family members have allergies to dogs:

Will someone be home during the day with the puppy:

If not, is someone available to feed puppy noon time meal:

Are you willing to crate train your puppy:

Are you willing to take puppy to socialization/obedience classes:

Where do you plan to attend classes:

Do you currently own other pets:

Do you understand that you would be purchasing this puppy on limited registration and do you agree to have this puppy spayed or neutered:

Are you willing to have the breeder or a friend of the breeder come to your house to visit the puppy or dog in it's new home:

Are you willing to have your puppies hips xrayed by 24 months old to help us with our breeding program:

Name address and phone number of your veterinarian:

Do you agree to not let this dog ride in the back of an open vehicle:

Do you agree to never tie this dog/puppy up as a means of confinement:

Do you have children? If you do please provide their names and ages: