What sex are you interested in?

Male Female  Either

How long are you willing to wait for a puppy to be born from one of our Dam's: Bebe or Fluffy or Woofy?

 

Four-Months One-yearLonger If  NecessaryAll Golden's and breeders are alike, I am not willing to wait for a Holistically bred Cancer protected Golden Puppy

Which upcoming litter are you interested in (use up/down arrow to scroll)

BeBe/Hollywood Woofy/Hollywood Fluffy Spring 2011 No preference <<<<-- Use this up/down arrow to choose Dam and Sire

Enter your comments or questions in the space provided below. Please keep it short and to the point.

Tell us how to get in touch with you: Please fill out completely.

Name First of Applicant and Spouse
Name last
Email                                                                                                         Your E-mail	<-Spouse's e-mail address
Tel-Home	Do not use parentheses
Cell Phone
Street and City where your Golden will reside Full Time-- include house number	House number and Street        City
State
zip
How did you find this site?
Are you interested in breeding or pet?

Is this puppy for you or someone else?

On a scale from 1 to 10 what is your interest level to own a Golden

(10 being the highest)

At any given time, how many hours will your Golden Retriever be alone without human contact?        Please Be Specific   (enter a number)

Where will puppy live, Condo. Apartment, House, Outside?

What percentage of the time will your Golden be outside alone?                

How many Children do you have and what are their ages and sex?

Do you own or Rent?

In which room of your house will your puppy sleep when you go to bed?     (Be specific)                                                              

How many years at present location?

How many Dogs do you currently own?

Sex                                                                                        Age    Breed

Is he or she Neutered or Spayed?

Does anyone in your home have any allergies?

Does the primary caregiver have any disabilities, mental or physical or diseases that would interfere with him/her from caring for the puppy? If so , please explain briefly.

Occupation? (If business, what kind of business?) Husband and Wife

Husband                                                                                                                                            Wife

Who will be the primary caregiver for your puppy?

What kind of fence do you have to contain your golden when he/she runs out the door?                      

           Are you interested in learning how to protect your Puppy/Adult against Allergies, Diseases and Cancer throughout it's life and extend his/her lifespan?                                               

 

  Information intentionally omitted will not be considered for ownership