Puppy QuestionnaireName *Please provide first and last nameAddress Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone Email *Is everyone in the family in favour of getting a puppy, specifically a Golden Retriever puppy? *YesNoSome of us are on board and some aren't sure yetWhy have you chosen a Golden Retriever? *What breeds of dogs, if any, have you owned in the past? *Have you familiarized yourself with the Golden Retriever breed? *size, grooming, feeding, medical care, exercise needs, etcYesNoWhy do you want this puppy? *Please select all that applyI would like a Show prospectI would like a Obedience prospectI would like a Hunting prospectI would like a Breeding prospectI would like a well bred Family petI would like a Agility prospectOther (please explain in the comment section at the end)If you are seeking a puppy for any competitive events, please describe past experience, if any. Please describe your family. *Please include number and ages of children (if any), leisure activities/hobbies and current pets (if any).Do you have a preference for male or female? *MaleFemaleNo preferenceIf you do have a preference, why have you chosen this particular sex? *Would you be willing to take a puppy of the opposite sex? YesNoWho will be the primary caregiver? Puppies are a lot of work, demanding time, patience and consistency.What arrangements will be put into place in the event you will be away from home for more than 4 hours? *How do you plan on housebreaking your new puppy? *If you have housebroken a puppy in the past, please include which methods are you familiar with.Do you plan on attending obedience/socialization classes with your new Golden Retriever? *YesNoHow do you intend to house your new Golden Retriever? *inside, outdoors, etc.Do you have a fenced in yard? *YesNoWe have invisible fenceDo you have any objection to signing a non-breeding agreement? *YesNoUnsure at this timePlease describe your thoughts on crate training. *If you have previously had a Golden from whom/where did you purchase from? Have you ever removed a dog from your care? *Due to, Temperament Problems, Personal Changes in your Life, Allergies (etc)YesNoHow did you hear about Conquerer Goldens? *If from a friend/co-worker/vet or breeder please supply their nameHave you read the Litter FAQ and Health Info pages on our website? *YesNoPlease feel free to add any additional comments you feel may be of interest. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
