Puppy Application:

Contact Information

Applicant Name:

Co-Applicant Name:
Relationship:
Children & ages:
Address: 
City: 
State:
Postal Code:
Home Tel: 
Cell: 
Email:




QUESTIONNAIRE INFORMATION


Have you ever owned a Golden Retriever?
How did you hear about our kennel?
What do you know about this breed (temperament, health, etc)?
What is your first choice sex of puppy?

Is this your only choice?

What is your primary reason for adopting this puppy (choose one)? Pet  Show  Breeding  Therapy/Service

If you selected Show or Therapy/Service, will you be doing your own training or will we be keeping the puppy to have him/her trained?

Do you have other pets?

If so, list:

Will they get along well with a new puppy?

Do you own or rent your home?

If you rent, do you have permission to have a dog?
What kind of home do you live in?
Do you have a fenced yard?

If you do not have a fenced yard, how will your Golden Retreiver be exercised? 
Who will be primarily be responsible for this dogs care?
How many hours per day will your dog be alone?
Who will care for your puppy while you are on vacation?

If you have to move, what will you do with your dog?
What will you do with your dog if you have children?
Are you willing to be responsible for this dog for the next 13 years or more?
Will this dog be taken to the Vet annually for check-ups and as-needed?

Please provide the name and address and phone number of your Veterinarian.

We may contact them for a reference.

Will your Golden Retriever be an inside dog?

If not, what are your outside living arrangements?

Where will your dog sleep at night?
What will you do with your dog when no one is at home?
What will you do if your dog exhibits dissatisfactory behavior,
ie; barking, messing in the house, chewing, etc?
Does everyone in your home want a puppy?

Are you willing to keep Gold Standard Kennel updated with pictures and status of your new puppy?

Have you read our buy/sell contract?

We strongly recommend using Eukanuba food.

Stud Service Application

Information Required
Before Contracting For Stud Service

The minimum considerations which must be addressed before a Stud Service Contract to a dog at this kennel can be completed are listed below. Please fill out this form completely and transmit it to us prior to any discussion of contracting for the services of one of our stud dogs.

1. Health clearances:
       OFA (or PennHip) grade and number (please send a photocopy of the form).
       CERF* number (please send a photocopy of the form).
       Pre-breeding workup, including CBC, aerobic and mycoplasma culture/sensitivity (through
       appropriate guarded culture instrument, (obtained from the area of the cervix), brucella and T4.
       Original lab report must be forwarded to us. A lyme western blot and or/a chemistry
       may also be required.
       Other:

2. Your detailed plans for the placement of puppies:
       How many do you intend to keep?
       How many have you taken reservations for?
       How do you plan to find homes for the remainder?
       Send a copy of the contract and questionnaire you use for prospective puppy buyers.

3. Describe your arrangements for a whelping area.
       What are your fencing/kenneling arrangements?
       What arrangements do you have to house and care for those puppies for which you cannot
        find homes?

4. Briefly describe your prior whelping experience; how many litters in total have you whelped?
       How many litters has this bitch had previously?
       How many breeding attempts have been made with this bitch?

5. What show, trial, training, etc. experience has this bitch had?

       What is her record at these events?
       What titles has she earned?
       Has she stayed away from home before?

6. This bitch needs to be evaluated for breeding quality. Photos or a video should be sent right away, and a personal examination must be set up to determine this. State below what arrangements for such an evaluation you are prepared to make.

7. What form of positive identification does the bitch carry? (Microchip or tattoo)
       What is the number?
       If a chip, which kind?
       What is the location of this identification?

8. Enclose a copy of the bitch's AKC registration, pedigree, and if an import, the export pedigree of the country of origin.

9. Enclose a copy of the bitch's veterinary records, including current vaccinations and dates, parasite examination results and date, medications currently being administered, medications administered within the past year, and any existing medical conditions. State any congenital medical problems which have been diagnosed.

When these materials have arrived, you can call to talk to me regarding the stud dog you prefer to use, his stud fee, travel arrangements or semen shipping arrangements, and any other matters which seem unclear.

Signed:
Alicia Lutz

Gold Standard Kennel