Puppy Application

Today's Date *

MM

DD

YYYY

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Do you have a spouse? *

Yes

No

Spouse's Name

First Name

Last Name

Do you have children? *

Yes

No

Gender Preference *

Male

Female

No Preference

If your first choice (Male or Female) is not available would you consider taking a puppy of the opposite sex or would you want to wait for another litter? *

Yes

No

Possibly

Have you completed any AKC/CKC titles on other dogs? *

Yes

No

Would you consider an adult Golden Retriever if available? *

Yes

No

Do you currently own other pets? *

Yes

No

What type of personality are you looking for? *

'Couch Potato'

Middle of the road

Very active

Independent

Which situation best describes the property's fencing? *

Securely fenced

Yard not fenced

No yard

Will fence yard

Other

Are you willing to crate train the puppy? *

Yes

No

Will someone be home with the puppy during the day? *

Yes

No

If not, are you willing to make arrangements to feed and exercise your puppy? *

Yes

No

What is the most important reason for purchasing a Golden? *

Family Companion

Hunting/Field Work

Show Dog

Agility

Pet Therapy

Breeding Prospects

Obedience Competition

Check both boxes to continue *

I agree to let Snow Peak Paws contact me via the contact information provided in this application.

I agree to let Snow Peak Paws store my application data for future reference.