Adoption Application

If you haven’t heard from us within 72 hours,  please call Mary directly at (207) 939-6279.

Name *

First

Last *

Last

Email *

Home Phone

format: 207-111-2222

Mobile Phone

format: 207-111-2222

Address *

Address Line 2

City *

State * ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code *

Occupation *

How did you hear about us? *

Why do you want a Golden Retriever? *

Do You Prefer: *

Male

Female

No Preference

Why?

For what purpose are you purchasing a golden? *

(pet, show, obedience, field, breeding, etc.)

Do all family members want a new puppy? *

Yes

No

If you have children, please list ages.

Will this be your first dog? *

Yes

No

Do you currently own a dog? *

Yes

No

Age and Breed of current dog

Do you have other pets? *

Yes

No

List current other pets.

Does your home have a fenced yard? *

Yes

No

Where will your puppy be kept during the day? *

Where will the puppy sleep at night? *

Do you plan to crate train this puppy? *

Yes

No

Are you planning on taking this puppy to obedience classes so he will become a treasured companion and a canine good citizen? *

Yes

No

What training facility do you plan on using?

What is the name of the veterinarian and clinic you will be using for the puppy? *

Have you used this vet before? *

Yes

No

May we contact them for a reference? *

Yes

No

Please tell us a little bit about what you are looking for in a Golden Retriever and what type of activities you would likely be pursuing (such as a couch potato, jogging companion, a buddy for the kids, etc).

When do you want a puppy? *

Jan-Mar

Apr-June

July-Sept

Oct-Dec

Next Year

Captcha

If you are human, leave this field blank.