Puppy Buyer Questionnaire
Date:
Litter of Interest: Peaches and Jake
Puppy Preference: Male - Female - Either - Will accept Opposite Sex Color: Light Medium Dark No Preference
Your Name: (Complete as name to be shown on Registration including co-owner if any)
Street Address: City: State: Zip Code:
Phone Number - Home: Work: E-Mail Address:
Family Status: Single Married - Spouse Name: Children Living at Home: Yes No Names and Ages:
Canine Experience: List dogs currently owned including breed, registered name, titles (if any), and call name:
List dogs previously owned and disposition of each:
Are you currently a member of the Golden Retriever Club of America? Yes or No
Are you currently a member of Golden Retriever Club, Retriever Club, Obedience Club, or other dog club? List clubs in which you are a member.
Do/will your dog(s) live: In Home Outside Fenced Yard Kennel Other:
Plans for Swan River Puppy - Check all applicable: Pet/Companion Hunting Hunt Test Obedience Field Trial Agility Conformation Other
Training: Do you anticipate sending your puppy away to a pro for field training. Yes or No
Professional Trainer's Name:
References: List two persons that can verify your good character and canine experience if applicable (include phone number):
Please use the space below to add any other information you would like us to know about you or other comments:
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