MOONGATE GOLDENS Diane & Edward Coyle 33 Foxchase Road Tabernacle, New Jersey 08088 609-268-2626 [email protected] Puppy Application

Application for Potential Puppy Buyer Date: ______

Name: ______

Address: ______

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Home phone: ______Work phone: ______

E-mail address: ______

Occupation: ______

How did you learn about us? ______

Why did you decide to purchase a Golden ? ______

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Have you ever owned a before? ______When? ______

What breed? ______

What became of it/them? ______

Do you prefer a Male ______or a Female ______puppy or an adult? ______

Why? ______

For what purpose are you purchasing a ? (Check all that apply)

Family pet______Obedience_____ Show_____ Agility____ Field_____

Hunting ___Tracking ____Therapy_____ Breeding ____Other______

Do you have any special needs? ______

When would you like to take possession of this puppy? ______

How many children are in your family? ______

Please give names and ages ______

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Do all family members want a new puppy? ______

Do any family members have allergies to ? ______

Are you aware that Golden are large dogs (55-65 lbs female &

70-85 lbs male) and are sporting dogs and require exercise, how will you take care

of this? ______

Do you have a securely fenced in yard? ______

Will someone be home with the dog during the day? ______

If not, how long will the puppy/dog be alone? ______

How many other animals in your family? ______

Please describe species and age ______

Who will be primarily responsible for the puppy? ______

Who will train this puppy? ______

Are you willing to take your puppy to obedience training class? ______

Where will this puppy be during the day? ______

Where will this puppy sleep at night? ______

Do you believe in crate training? ______

Are you aware that our puppies are sold on a Limited Registration with a

spay/neuter contract? ______

Are you aware that Golden Retrievers shed a lot? ______

Are you aware that Golden Retriever puppies are very mouthy and need to learn bite inhibition? ______

Have you ever given a dog away to a shelter? ______

If so, why? ______

How do you describe your family lifestyle and recreation?

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Do you, or does anyone living in your house smoke? ______

What lawn care company or fertilizers/pesticides do you use? ______

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Are these or any chemicals currently or previously applied to any area the puppy will use? ______

Are you aware that Golden Retrievers often eat grass for reasons other than not feeling well? ______

How would your puppy be cared for when you are away? ______

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Are you willing to maintain contact with your breeder throughout your puppy’s life, regarding personality, development, training, health problems, sharing photos if possible? ______

How would you describe the ideal temperament of the puppy you would like?

(outgoing, reserve, playful, etc.) ______

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Is there a particular look you would prefer? (size, color, structure) ______

Do you understand that there is no perfect puppy? ______Please give name, address and phone number of veterinarian

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Signed ______