Puppy Application

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Golden Gates Retrievers

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We will not be accepting applications again until June 1st.

First Name

Last Name

Cell Number

Email

Address, City & State

PLEASE CHECK ALL THAT APPLY:

I would like to have a FEMALE puppy

I would like a MALE puppy

I have no preference of male or female. I would like the first available

We do have other pets currently. They are listed below.

The puppy will be in a home with young childen [ if checked- please list their ages below ]

I have someone who will pet sit if I am traveling [ If checked - Please list who below ]

If I travel my pet will travel with me.

I am financially prepared to spend a minimum of $100 per month for expenses [ food, vet, etc. ]

My puppy will be used as a service dog

I have owned/ currently own a Golden

Someone will be home during the day to take care of the puppy. [ If not- please provide a written response as to what arrangements you plan to make while you are working]

Any additional information you would like to share? The demand is high, the supply is low. This is where you convince me that you are the perfect fit for one of our Golden babies.

Please select one:

I own a house with a fenced in yard

I rent a house with a fenced in yard

I lease an apartment that is dog friendly

When would you like to add a puppy to your family?

Thank you!

CONTACT

E-Mail

Goldengates1329@gmail.com

Phone - 904-504-7396

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