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Marigold Golden Retrievers
Puppy Inquiry Application Form
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* Indicates required question
Date*
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Name
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Your answer
Address
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Your answer
Cellphone*
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Your answer
Residence Phone*
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Your answer
Email*
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Your answer
Occupation
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Your answer
Do you own you home, rent or reside with others?
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Own
Rent
Live with others
Where will the dog be during the day and during the night?*
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Your answer
Approximately how many hours a day will the dog be left alone?*
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Your answer
Do you have a fully enclosed yard?*
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Yes
No
If not, how do you plan to keep your puppy in a secure area away from harm, roaming or being stolen? *
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Your answer
Are you willing to use a crate for the dog?*
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Yes
No
If you travel out of town, where will the dog be?*
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Your answer
How many members does the your family have and what are the approximate ages? *
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Your answer
Are there any other dogs in residence in your family right now?
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Yes
No
Required
If so which breeds and what are their approximate ages? Are they sprayed or neutered?
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Your answer
What other animals are currently part of your family?*
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Your answer
What gender would you prefer? If you have no preference, please state so. *
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Male
Female
No Preference
Describe the characteristics of the ideal Golden Retriever to match you and your families lifestyle. *
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Your answer
Do you have expectations of long-term travel plans for the first six months after your dog's arrival?*
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Yes
No
Do you plan to attend obedience training classes?*
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Yes
No
Will your dog be allowed to mingle with guests in informal situations?*
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Yes
No
Have you owned a Golden Retriever before?*
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Yes
No
Do you have a veterinarian? If yes, list name and contact information.*
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Your answer
If you are unable to keep your Golden Retriever, will you agree to return it to the breeder?*
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Yes
No
In a few words, please explain why you want a Golden Retriever.*
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Your answer
How did you hear of Marigold Golden Retrievers?*
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Your answer
Comments/Additional Info
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