Star Rise Goldens - Puppy Application

Please proivide us with your full name, address, phone number and email.

How did you hear about this litter?

Other

Occupation

Spouses occupation

-are your current pets spayed or neutered?

Are there any changes in your lifestyle occuring within the next 12 months? ie:moving, job change, renovations, new baby, etc.

What type of home do you live in?

If you do not own your home have you reached an agreement with your landlord about owning this puppy?

Do you have a fenced yard for when your puppy is outside?If your answer is no how are you going to ensure the safety of your new puppy.

Where will your new puppy be spending most of his or her time when you are not at home?

Are all members of your family in agreement with getting this puppy?

If you are not at home during the day who will let your puppy outside when they need to potty?

Please provide a list of any current and past pets you have owned

Why have you decided to bring a Golden Retriever into your family?

Please provide the names and ages of the family members in your home.

Are willing to provide regular veterinary care to your new puppy and feed a quality dog food to ensure health and well being?

Please provide the name address and phone number of the veterinarian you are or plan to use.

What plans do you have for you and your new puppy?

If your puppy is to be exculsively a family companion do you have any objections to spaying or neutering the puppy?

-if you have any objections please explain them in the space provided.

Is your preference male or female and do you have a color preference?

If your first choice isn't available are you willing to take another sex or color or wait for our next litter?

Are you planning on taking any classes such as obedience and puppy socialization classes with your new puppy?

Do you agree to never transport this dog in the back of an open vehicle.

Do you agree to never tie this dog up as a form of confinement.

Do you agree to NEVER let this dog run loose unsupervised where harm mey come to the dog.

Do you agree to never use a shock collar on this dog as a form of punishment or training.

The next section is required for people wanting a SHOW/Working puppy

Are you willing to achieve a CKC and/or an AKC title with your new puppy? Do you already have dogs that have completed AKC or CKC titles? Please list them below as well.

Do you agree to complete all breeder required clearances before you consider breeding this puppy? Clearances required are OFA hips and elbows fair or better, eyes "normal" by a board certified Opthamologist and heart cleared by a board certified Cardiologist.

Do you show your own dogs (for those inquiring about a breed ring prospect) or do you have a handler you use for showing? If you use a handler please include his/her name.

It is our personal policy that puppies placed into a show or working home are done so on a co-ownership contract if you disagree with this policy please state your reasons in the space provided.

Please provide us with the names and phone numbers of two people not in your home that we can contact about you.

I understand that sending this application does not automatically entitle me to a dog. I understand that this application is just a beginning step in the interview process.

All of our companion or pet puppies are sold with AKC Limited Registration and spay/neuter contracts. This means that the dog is registered with AKC however none of the offspring are eligible for registration. A dog with a Limited Registration as well as a spayed or neutered dog can compete in all AKC events except in the Conformation classes (breed ring).

Please review and then submit this completed questionnaire. We will contact you via email as soon as possible regarding the availability of our StarRise puppies.

What other venues in the AKC/CKC are you planning to participate in with your Star Rise Golden? Who do you plan to use for training for these venues ~ for example: local club or private trainer? If you have dogs already titled in these areas please list their names.