Britmore Golden Retrievers
Puppy Questionnaire/Adoption Form
Please take some time to provide us with some information about you, your family, lifestyle, and what kind of puppy you are hoping for. The future well- being of our puppies/dogs and the satisfaction of our prospective families are very important to us, please fill out the below Adoption Questionnaire/Puppy Adoption Form completely to help us know more about your potential home. We will be in touch soon.
Thank you for your interest in our puppies.
Adoption Questionnaire/Puppy Adoption Form
Reservations are made on a first come … first approved … first deposits received basis.
All information requested on this form must be completed in full.
Your full name: ______
Your occupation: ______
If married-Your Spouse full name: ______
(Spouse) Your occupation: ______
Your phone number (with country, city, area codes): _(_____)______-______
Your email address: ______
Your Home Address: / ______City/Town: / ______State/Prov.: ___ Post./Zip Code: ______
Country: / USA
How did you hear about us? ______
Preference will be given to people with no preference in sex first.
With each reserved spot we will ask your preference as to male or female - but we are unable to guarantee the gender of your puppy until the litter is actually born. We cannot predict Mother Nature with 100% accuracy however we will do our best to provide puppies to as many on our waiting list as possible - dependent on the number and gender of puppies in a litter.
The more flexible you are in your choice of sex the easier it will be to meet your requirements. There is never any guarantee as to how many females (or) males will be born into any litter. Mother Nature does not give us the exact sex we want – we will have to wait and see. (If there is not a puppy of your preferred sex in the current litter you are waiting for – you can be ‘rolled’ over on the reservations waiting list until the next year’s upcoming litter). Reservations are made on a first come … first approved … first deposits received basis.
When would you like to add a puppy to your family? ______
Our first litter is expected in Spring 2017.
Are you willing to be rolled over on the reservations waiting list for our next litter if preferred puppy is not available this time? ____Yes /_____No
Note: Deposits will be 100 % returned only for the following reason:
There are not enough puppies born in the litter of your preferred sex written here on this puppy questionnaire/reservations list.
What sex are you interested in?
____ Female Only / ____ Male Only / ____ Either Male or Female
For what purpose(s) are you interested in a Golden Retriever? (check box)
Family Pet Obedience Agility Field Events Hunting
Our puppies are sold on Non-Breeding Contract and spay/neuter contract. Do you agree to sign and abide to this contract? _____Yes / _____No
If No, why? ______
Have you spoken with any other Golden Retriever breeders? ___Yes / ____No
If Yes, please list them (names/kennels) below: ______
Are you currently on the waiting list for any other litters? ______Yes / _____No
Do you have children under the age of 10? ______Yes / _____No
Please list the ages of your children: ______
Do you Rent or Own your residence? ______Rent / _____Own
How Long (years (or) months) have you lived at your current residence? ______
Do you have a fenced yard? ______Yes / _____No
What size yard do you have (appox.)? ______
If not, how will you provide safe environment/security for your puppy when its outside or when you're away?
______
Is there someone home during the day, or able to get home to "potty" a puppy?
______Yes / _____No *(if no, explain)______
*If no, how long would this puppy be left alone (max. time)? ______
Where will this puppy spend the day? ______
Will this puppy have regular contact with its family (or pet sitter) during the day?
______Yes / ______No
Where will this puppy sleep? ______
Are you willing to attend "group" training classes with this dog?
_____Yes / ______No
Have you ever owned a Golden before? ______Yes / ______No
Below – please tell us about your other pets (list the pets that you have had in the last five years or still have): * (Please include Name, Breed, Age, Sex, Altered, any other important information)
______
Are all your pets current on vaccinations? _____ Yes / _____ No
Will you ensure that your new puppy is kept current on all vaccinations and visits the vet for boosters shots/annual exam once a year? _____ Yes / _____ No
If you haven't owned a Golden before, what other breed of dog have you owned? ______
(If you haven't owned a dog before, please state.) ______
______
If any of the dogs owned are deceased, what were the circumstances?
______
Do all family members agree on the addition of a Golden to the family?
_____ Yes / _____No
Who will have primary responsibility for the care of this puppy? ______
Have you ever given up a dog to a shelter or pound? _____ Yes / _____ No
If so, why? * (Our pups/dogs must be returned to us.)
If you have previously owned a dog, please give us the name, address, and phone number of your vet (or one that has worked with you in the past):
Your Vet’s Name and Address: ______
Your Vet’s Tel. No.: (______)______-______
We Require at Least 2 Personal References (not related to you) and their phone numbers?
1. Name: ______Phone Number:_(______)______-______
2. Name: ______Phone Number: _(______)______-______
What type of personality are you looking for in your dog / what are the three most important qualities you are looking for in your future golden? ______
The total purchase price for a pet puppy (AKC Limited Registration) is: $2000.00
Deposits to hold your place on the list for this litter is $500.00.
Please make checks payable to Andrea Sahs. Please DO NOT make checks out to Britmore Golden Retrievers.
We strive to make sure that any puppy adoption is a perfect fit for you, your family and puppy.
Please complete, scan, sign & email back to us this completed form or return to us via US mail - our mailing address is below. If you have any questions at all, please feel free to give us a call.
Please sign & date below.
______
Signature Date
______
Print Full Name
We will be in touch soon. THANK YOU.
Britmore Golden Retrievers
Andrea Sahs
6119 Pershing Ave
Downers Grove, IL 60516
Phone: 630-669-3766
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