Puppy Adoption & The Application Process

1. Your First Name Your Last Name

Your Occupation

2. Your Spouse/Partner's First Name

Your Spouse/Partner's Last Name

Your Spouse/Partner's Occupation

3. Email

4. Address

5. City 6. State 7. Zip Code

8. Home Phone 9. Cell Phone

10. Names and ages of children

11. How did you hear about Goodlife Goldens?

12. Have you owned a golden before? Yes No

13. Which gender do you prefer? Male Female Either

and why?

14. If your first choice (Male or Female) is not available would you want a puppy of         the opposite gender? Yes No

15. If we do not have what you are looking for, would you like to be added to the         waiting list on a future litter? Yes No

16. What is or are the most important reason(s) for purchasing a Golden:
        Family Companion? Yes No       Pet Therapy? Yes No         Show Dog? Yes No
        Obedience Competition? Yes No         Breeding? Yes No   

17. If you have other pets please describe breed, spayed/neutered, and ages of each.
        

18. Do you live in an apartment, house, townhouse?

19. If you rent, do you have your landlord's permission to have a dog?

20. Is your home one story or two? If two stories, is it possible to raise the puppy for         18 months with limited stair climbing?

21. Please describe the yard/property and fencing you have.
        

22. Please describe the personality you prefer i.e. couch potato, moderately active,         very active, independent, etc.

23. Please describe the kind of floor surfaces you have in your home.
       

24. How often will the puppy be alone and will someone be home with him/her during        the day?

25. Will your puppy be primarily a house pet or outdoor dog?

26. Where will your puppy sleep at night?

27. Do you have or can you hire a puppy sitter/walker for any time puppy would be        alone for more than a few hours? Yes No
       If yes, please give the puppy sitter's name?

28. Who is or was your most recent veterinarian?
       May I contact him / her as a reference on you? Yes No
       Telephone number?

29. Are you interested in learning about holistic veterinarians and alternative health        care methods? Yes No

30. Are you willing to provide vaccinations to this Golden according to Dr. W. Jean         Dodds' vaccination protocols? She is a highly respected veterinarian immunologist and believes         over vaccinations causes many health problems in dogs and cats. This is part of the Contract you and         I will sign if you obtain one of my pups. Yes No

31. When your puppy is between 3 - 6 months old are you willing to attend puppy          socialization or training classes. Yes No

32. Do you fully understand that the puppy must be neutered or spayed between 18-24
        months, definitely no younger, and AKC registration papers will be for a Limited registration,          unless you and I execute a written and signed agreement saying otherwise? Yes No

Limited registration means the puppy/dog may be shown in all AKC venues except          Conformation and the offspring cannot be registered with AKC. Limited Registration
         also means, you contractually agree not to breed this Golden without my written
         permission.

   Is there any other information you'd like to share?