Prospective Puppy Owner Questionnaire

First Name: *

Last Name: *

Email *

Phone Number: *

Street Address: *

City: *

State: *

Zip Code: *

Number of Family Members: *

Ages of Children (if any):

Do any members of your family have any types of allergies? *

Yes
No

If yes, have they been tested for animals? Please explain below:

Are you an active military family? *

Yes
No

If so, have you been overseas? Please explain below:

Do you have a puppy preference (e.g., sex, color, etc.). Please explain: * *

Please provide your reasons for wanting a puppy (e.g., show, obedience, companion, protection, breeding, etc.): * *

How did you learn about Golden Moon Labradors? *

Please describe the home in which you will live with the puppy? *

Do you own or rent your home? *

Own
Rent

If you rent, does your lease allow pets?

Yes
No

If you rent, please include your landlord's name and contact information below:

Is your yard fenced? *

Yes
No

How big is your yard/lot? *

What type of fencing do you have? *

Where will the dog live? *

Inside
Outside
Both

Have you owned a dog before? *

Yes
No

If yes, what happened to your last dog?

Please list all pets currently in your household:

Please list all previous pets (from the past five years) and what happened to them:

Who will care for the puppy? *

Who will be responsible for training the dog? *

Have you taken previous dogs to obedience classes? If so, where?

Have you familiarized yourself with the grooming requirements of a Lab? *

Yes
No

Have you familiarized yourself with the amount of shedding experienced by retrievers? *

Yes
No

Have you familiarized yourself with the amount of attention and exercise required by retrievers? *

Yes
No

Are you prepared to care for a dog for 10 to 15 years? *

Yes
No

Does everyone in the house work (or attend school) all day? *

If everyone is out of the house all day, what is your plan for ensuring that the puppy is not left alone for more than 3-4 hours at a time?

Are you planning on moving? If yes, have you determined what you will do if problems arise with housing the dog? *

Are you aware of the health benefits of spaying or neutering your puppy? *

Yes
No

Have your previous pets been spayed or neutered? *

Have you ever used a crate to house train a dog? *

Yes
No

Do you plan on crate training your new puppy? *

Yes
No

Do you own an appropriately sized crate? *

Yes
No

Approximately how much do you think it will cost to care for a dog for a year (e.g., veterinary care, food, grooming, etc.)? *

Please describe what you are looking for in a dog (e.g., what you expect from a dog as farm as companionship and temperament): * *

What is the name of the breeder from whom you purchased your last dog?

Have you found a veterinarian in your area? What is their name? *

Please provide a name and contact information (email or phone) of someone who has known you and your previous or current pet(s): *

What will you do to make sure that the dog gets enough exercise and attention? Labrador puppies need several hours of both every day! *

Will you always do you best to keep the dog safe (e.g., no running loose, riding in the back of an open pick-up truck, or being tied outside)? *

Will you keep us up-to-date and informed on the dog's accomplishments and problems? Will you bring questions to us or appropriate professionals before problems become out of hand? *

Do you understand that there is no 100% guarantee that your puppy will not have a genetic problem even though the parents have their clearances? *

Yes
No

Do you understand what AKC Limited Registration is? *

Yes
No

If you have any additional comments or questions for us, please provide them below:

Please solve the following math problem to verify that you're not a robot: *

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Prospective Puppy Owner Questionnaire

To apply for Puppy Ownership please fill out the following fields and “submit” your request by clicking on the button at the end of the questionnaire.