Applicant
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First Name
Last Name
Occupation/Name of Employer of Applicant
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Phone
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Email Address
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Co-Applicant
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First Name
Last Name
Occupation/Name of Employer of Co-Applicant
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Phone
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Email Address
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Mailing Address
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City
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State
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Zip Code
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I am interested in:
An 8 week old puppy
An AKC STAR trained puppy ( 16-20 weeks)
An adult dog trained for companionship
An adult dog with advanced training
Tell us about the dog you are looking for. What will this dog be able to do for you and your family?
Do you have a gender preference?
Male
Female
No Preference
What colors interest you most?
Light Golden Retriever
Medium Golden Retriever
Dark/Red Golden Retriever
Why do you want to adopt a Golden Rule puppy?
Companion for Self or Family Member
Companion for Another Pet
Emotional Support Animal
Therapy Dog
Service Dog
Watchdog
Breeding Dog
Hunting Companion
AKC Competition
Surprise Gift
Other
Please list names, ages and relationships of those living in your home.
Have any family members ever been attacked by a dog or are any family members afraid of dogs?
Yes
No
How long have you actively been seeking a new dog?
1-3 Months
3-6 Months
6-12 Months
Over 1 Year
What steps have you taken to prepare for a new puppy?
Please list any pets currently living in your home. Include their ages and whether they are spayed or neutered.
Please share with us the names and breeds of any pets you have lost in the past 10 years. Include the cause of your loss.
What are the worst possible circumstances that might force you to make the decision not to keep this dog? (Select all that apply)
Divorce
Illness in Family
Moving
New Job
New Home
New Baby
House Training Issue
Chewing
Digging
Excessive Barking
Allergy
Doesn't Get Along With Other Pets
Dog Becomes Ill
Kids No Longer Care For Dog
You come home from work to find the new puppy has chewed one of your favorite shoes. What happens next?
Have you ever house-trained a puppy?
Yes
No
Please provide your veterinarian's name, city and phone number.
Where will your dog spend most of his/her time?
Inside
Crate
Outside Free Range
Fenced Yard
Tethered
Garage
Laundry or Other Room
Other
Where will the dog sleep as s/he grows and matures?
Crate
In the Bedroom
On the Bed
Outside
Left Out in the Home
On average, how many days each week will the dog be left alone for over four to six hours?
1-2 days
3-5 days
Daily
Who will be financially responsible for the dog?
How would you describe your residence?
Single Family Own
Renting
Apartment
Townhouse/Condominium
Mobile Home
Dormitory
Other
What daily exercise plans do you have for your dog?
Where will the dog go potty?
Inside
Outside, on Leash
Outside in Fenced Area
Outside, Tethered
Outside, Other
Puppy Pad
Who will have the primary responsibility for the care and training of the dog?
What can you do to make sure your dog gets proper training and time to grow so that you can help him to meet his full potential?
How do you plan to teach your dog?
Self training
Basic Obedience With a Private Trainer
AKC STAR Puppy Class
AKC Canine Good Citizen Class
Group Obedience Class
Do you plan to enroll your dog in residential training away from home?
Yes
No
Please let us know if you are looking for a dog that will be able to help with a special circumstance such as, but not limited to insomnia, anxiety, depression or therapy/volunteer work.
Is there anything you would like to share with us?
Please email the following photos to Amanda@goldenruleretrievers.com: 1) the front of your home, 2) the view looking out your front door, 3) the backyard, 4) the location where the puppy will stay when you are away, 5) the main living area of your home, 6) any photos you would like to share of your family, pets or hobbies your new dog will enjoy.
Terms and Conditions
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I have read and understand the Puppy Agreement.
I understand that should I be unable to pick up my puppy within the three-day window provided, a boarding fee of $30 per day will be applied to my final balance.
I agree to feed a high-quality dog food and to keep vaccines and heart worm preventive up-to-date.
Should I be unable to keep my puppy/dog, I will return the dog to Golden Rule Retrievers for evaluation and training so that GRR may find a new suitable placement.
I understand that the $750 deposit is non-refundable.
I have read about the Puppy Selection Process and I understand that temperament is prioritized over gender or color.
How did you hear about us?
Google
Facebook
Instagram
Friend
Family member
I met one of your dogs
Please tell us who referred you to Golden Rule!
Breeding
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I will not breed my Golden Rule dog.
I understand that should my dog accidentally breed, I must submit the $1000/puppy fee or the highest received value of each puppy in the litter.
I would consider allowing Golden Rule/Bella's Buddies to breed my dog for $1000, especially if it would help veterans or schools.