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Puppy Application Form
First name
Last name
Phone
Email
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Country
How did you hear about Kinuseo Goldens?
Facebook
Google Search
Referral from a Friend
Website
When will you be prepared to add a puppy to your family?
For what purpose are you looing for Golden Retriever?
Family Pet
Obedience/Agility
Show/Competition
Service/Therapy
Companion
What personality are you looking for in a puppy?
Bold Adventurer
Quiet Snuggler
Energetic and Playful
Calm and Sweet
Middle of the Road
Do you have children who live at home and are they comfortable with a dog?
Yes
No
Yes, but this is our first dog.
What kind of exercise area do you have for the puppy?
Will your puppy have regular contact with family both in the day and evening?
Yes
No
Where will the puppy stay?
*
In the house (free roam)
Inside in a kennel
Outside in a kennel
Outside in a fenced in yard
Outside (free roam)
In the garage
Select an option
We own our own house
We rent a house
We rent an apartment
Select an option
We live in a rural setting
We live in an urban setting
Are you currently on a waiting list for any other litters?
Our puppies are sold on a limited non-breeding registration contract . Will you honor this consideration?
Do you understand that any deposit placed on a puppy is non-transferrable and non-refundable?
Send
Thanks for submitting!We’ll get back to you shortly.
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