KILRAEKE GOLDEN RETRIEVERS
PUPPY APPLICATION
Our goal is to place each of puppy in a well-suited home where the puppy meets your expectations and you will do what is best for the pup. In order to help with this process,
we ask that you complete the following questionnaire if you are interested in one of our
puppies.
Personal Information
Name(s):_________________________________________________________
Address:__________________________________________________________
City, State, Zip:_____________________________________________________
Home phone: ( )_____________________ Work phone: ( )________________
E-mail address: _________________________________
Number of children living at home:_______(Please list each child's name, gender, and age
___________________________________________________________________)
Employer:_______________________________________________________
Do you own/rent a home/ condo/ apartment?_______________________________
Do you have a fully fenced yard?_________________________________________
Pet Ownership History
Please tell us a little about the other pets you have now. What kind are they? What are
their sexes and ages?
____________________________________________________________________
Have you ever had Goldens before? How many?
If any of your dogs have been lost or died, please explain the circumstances.
Puppy Expectations
How did you hear about this litter:_______________________________________
Would you prefer a male, female, or do you not care?_________________________
What do you expect to do with this dog? ( Check all that apply.)
_ family pet
_ comformation
_ obedience
_ tracking
_ agility
_ hunting
What experience do you have with these competitions? Who do you plan to train with?
Our Expectations
Keeping a golden retriever is not an inexpensive venture, between quality food, veterinary care, and training? Are you confident that you know how much this dog will cost you to maintain?______________________________________________
Where will your puppy spend most of his/her day? night?__________________
_____________________________________________________________________
Who will be home with the puppy during the day?_______________________________
How do you feel about neutering or spaying your dog if he/she is purchased either as a pet or proves a less than ideal prospect for breeding?_________________________________
How much and what type of exercise do you expect this dog will have each day?
_____________________________________________________________________
Do you intend to attend Puppy Kindergarten or other formal training class with this
dog?_______
Are you willing to have your dog tested for the various genetic diseases that goldens are susceptible to, including hip dysplasia, eye and heart problems, and thyroid deficiencies?
Are you willing to pay for these tests? Will you provide the results to us?_____________
___________________________________________________________________
Why do you want a puppy from our breeding?_________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
References
Please provide names, addresses and phone numbers of people who could verify your
qualifications and lifestyle--such as veterinarians, dog trainers, friends, neighbors.
1) Name____________________________________
Relationship to you___________________________
Address__________________________________
Phone number______________________________
2) Name_____________________________________
Relationship to you____________________________
Address____________________________________
Phone number_______________________________
Thank you for your time. Please return this questionnaire too:
Susan Fiorito
Kilraeke Golden Retrievers
42043 Bancroft Way
Hemet, CA 92544
(951) 927-7417