Prospective Client Questionnaire


It is our responsibility to ensure our dogs a loving and caring home, where they are part of the family. This application is designed to help us better understand the dog's propsective home environment and to ensure you are in agreement with our breeding philosophy. We sell to clients who:

1. Will provide 24-hour supervision. For example, our puppies are not to be left alone all day while adults are at work. If this is necessary, arrangements for day care with older children, grandparents, pet sitters, etc. are satisfactory

2. Will treat your dog as part of the family. Dogs are not to be tethered to a tree or doghouse, on outside runs, or to be left out overnight.

In order to stay on the list for a pending litter or inquire about an older dog, prospective purchasers must complete and return this questionnaire. Once we receive your questionnaire you will be placed on the list and notified when the pups are born or if an older dog is availble.

If we have a puppy/dog that meets your requirements we accept a $200.00 non-refundable deposit. (Deposit refunds will be given only if there is no puppy available.) We encourage your calls during the first six weeks to check the progress of the litter and a visit to "play with the puppies", usually at six weeks of age.
Name (First and Last):
Street Address:
City:
State: Zip:
Day time phone#:
Evening phone#:
Email address:

Your occupation:
Your spouses occupation:

Please describe the type of housing situation
you are presently living in:

Where will the dog be during the day?:

If you travel what will you do with your dog?:

Where will the dog be kept at night?:

Ages and number of both adults and children at home?:

Do you have other pets? Please list type and age:

Have you ever owned a Golden Retriever before and if
so what happened to him or her?:

Please list any specific requirements or what you
are looking for in your next dog:


Do you have a fenced yard:

What are your plans for this dog?:


References:
Please list two personal references:
Name:
Address:
Phone:

Name:
Address:
Phone:

Vet Reference:
Address:
Phone: