Puppy Application

First Name

Last Name

Address

City

StatePlease select stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Email

Phone

Do you have other pets?YesNo

How many children do you have?

Do you live in a rural or suburban setting?RuralUrban

Do you have a fenced yard?YesNo

Do you have a pool or pond?YesNo

If you do have a pool or pond, is it secure?YesNo

How many hours per day will your dog be left alone?

Does anyone in your household have allergies?YesNo

What lawn & floor cleaning products do you use?

Which gender do you prefer?FemaleMale

What is the reason for your gender preference?

Do you have a preference on coat color?YesNo

If yes, what is your coat color preference?

Why are you interested in owning a Golden Retriever?

List the most important considerations you are looking for (size, energy level, structure, breeder support)

Describe the characteristics of the ideal Golden to match your expectations and family lifestyle

What qualities of the breed make you most apprehensive?

Where have your previous dogs come from?

How do you plan on exercising your Golden?

Briefly describe your experience in training a dog. Include methods and results.

Have you had any experience with AKC or CKC events?

What do you plan on feeding your dog? Would you consider food/supplement recommendations from the breeder?

What are your thoughts about vaccinating your Golden?

Do you have a veterinarian? If so, please provide us the name.

What are your thoughts about grooming your Golden on a regular basis?

How do you plan to travel with your Golden? How will you restrain them?

What are your expectations of a breeder?

Do you understand a limited registration (non-breeding) contract and are you willing to sign this?

Do you have any interest in obtaining titles (conformation, obedience, field, etc.) on your Golden?

How do you feel about maintaining contact with Coeur de Canoe Goldens and providing updates on your Golden?

Pets are a long term investment and the cost for keeping them in excellent health can run thousands of dollars. Are you financially prepared to pay for this care?

Please let us know any other information you would like us to consider in placing a Coeur de Canoe Golden with you