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: ______________________________________________________ ______________________________________________________________ Home phone: ___________________ Work phone: _____________________ E-mail address: _________________________________________________ Occupation: ____________________________________________________ How did you learn about us? ________________________________________ Why did you decide to purchase a Golden Retriever? ______________________ ______________________________________________________________ Have you ever owned a dog 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 Golden Retriever? (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 ________________________________________ ______________________________________________________________ Do all family members want a new puppy? _______________________________ Do any family members have allergies to dogs? ___________________________ Are you aware that Golden Retrievers 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 pet 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? ______________________________________________________________ Do you, or does anyone living in your house smoke? ________________________ What lawn care company or fertilizers/pesticides do you use? _______________ ______________________________________________________________ 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? ____________________ ______________________________________________________________ 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.) _____________________________________ ______________________________________________________________ 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 ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Signed ___________________________ .