you learn about Omaragold Goldens?
currently own other pets?
If so, please describe (species, breed if a dog, and age)
If you do not currently
have a dog, have you owned a dog(s) before?
If so, what breed(s)?
happened to that/those dog(s). If they are deceased, include how/why
they died and at what age ?
have you chosen a Golden Retriever to become a part of your family?
Are you familiar with the
Golden Retriever’s grooming requirements, temperament,
nutritional needs, and activity level?
you visited the Golden Retriever Club of Canada website (www.GRCC.net)
and/or have done other research on this breed?
all family members want a new puppy?
there children in the family?
please state their gender and ages
family members have allergies to dog?
any family members afraid of dogs?
have any anticipated major life event changes such as a new baby, caring
for an elderly or sick relative, etc…?
“yes”, please describe
(own/rent/lease) your principle residence?
live in a (house/apartment/condo)?
there restrictions in your neighborhood regarding dog ownership?
will your Golden Retriever be accommodated during the day (house/crate
in the house/dog run with a dog house/yard with a dog house/other).
“other”, please describe
someone home during the day, or able to get home to let the puppy out to
If “no”, what arrangements will you be making for your new puppy?
is the approximate number of hours your puppy will be alone?
will your Golden Retriever be housed at night? (house/crate in house/dog
run with dog house/yard with dog house/other).
If “other”, please
have a securely fenced yard?
padlock your gates?
have a chain-link kennel run?
If “yes”, what size
describe your yard size and fencing
your yard is not fenced or you do not have a chain-link kennel run,
would you be willing to have it installed before you bring home a new
have a swimming pool?
“yes”, is your pool fenced to prevent a puppy/dog from swimming
plan travel with your dog?
“no”, where will your dog stay during your vacations? (boarding
kennel/veterinarian/stay with friends/other).
If “other”, please
gender do you prefer? (male/female/no preference)
have selected a preference, would you be willing to take a puppy of the
opposite sex if your preference is not available?
Goldens live approximately 10 to 14 years. Are you committed to care
for this Golden Retriever’s needs throughout his/her lifetime?
will be the primary caretaker --feeding, training, exercising,
socializing, and grooming-- for this golden?
you ever crate trained a puppy or a dog?
If “no”, please describe
type of personality/activity level are you looking for in a golden?
Do you have any interest to
train this puppy for future use in obedience, agility, tracking, field,
or conformation shows for CKC titles?
you willing to spay your golden retriever by 12 month of age or neuter
by 18 months of age and provide the breeder with a veterinarian
certificate as proof of surgery?
If “no”, please explain why
you allow a home visit by the breeder or breeder’s representative prior
to a puppy being placed in your home?
list the name, address, and phone number including area code, of the
veterinarian/veterinary clinic that we may use as your reference.
different from above, please advise the name, address, and phone number
of the veterinarian/veterinary clinic you plan on using for your Golden
list any references of someone involved in dog events that knows you?
agree to return this Golden Retriever to the breeder in the event you
are no longer able to care for the dog, regardless of age?
feel we can maintain a long-term relationship to discuss the health and
welfare of your Golden Retriever?
any comments that will help us place the right puppy with you.
By submitting this
application, I am acknowledging that the information entered is true and
correct. I understand that sending this application does not
automatically entitle me to a dog.
I understand that this application is just a beginning step in the
Please review and then submit this
completed questionnaire. We will contact you via Email as soon as
possible regarding the availability of our Omaragold puppies.