PPO Test First Name: *Last Name: *Email *Phone Number: *Street Address: *City: *State: *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code: *Number of Family Members: *Ages of Children (if any):Do any members of your family have any types of allergies? *YesNoIf yes, have they been tested for animals? Please explain below:Are you an active military family? *YesNoIf 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? *OwnRentIf you rent, does your lease allow pets?YesNoIf you rent, please include your landlord's name and contact information below:Is your yard fenced? *YesNoHow big is your yard/lot? *What type of fencing do you have? *Where will the dog live? *InsideOutsideBothHave you owned a dog before? *YesNoIf 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? *YesNoHave you familiarized yourself with the amount of shedding experienced by retrievers? *YesNoHave you familiarized yourself with the amount of attention and exercise required by retrievers? *YesNoAre you prepared to care for a dog for 10 to 15 years? *YesNoDoes 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? *YesNoHave your previous pets been spayed or neutered? *Have you ever used a crate to house train a dog? *YesNoDo you plan on crate training your new puppy? *YesNoDo you own an appropriately sized crate? *YesNoApproximately 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? *YesNoDo you understand what AKC Limited Registration is? *YesNoIf 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: * = EmailSubmit