Form

Flyway Goldens Puppy Questionaire
Please fill out all the information listed below and press the submit button when you are done! I look forward to working together with you to find your ideal puppy!
Contact Information:
Full Name*
First Name Last Name
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*
- Area Code Phone Number
Phone Number
- Area Code Phone Number
Breed Information
Why do you want to own a golden retriever?
Have you ever owned a Golden Retriever before?
What characteristics do you like most about the Golden Retriever Breed?
Please choose which of the following activities you would like to participate in with your Golden: (Check all that apply)

Puppy class Obedience Conformation Agility Hunting Tracking Hiking Companion Therapy Dog Tricks Other
Which sex do you prefer?
What is the reason for your preference?
Household Information:
Do you own or rent your home?
If you rent, do you have the landlord's permission to keep a dog? (Landlord's permission MUST be obtained!)
What type of housing do you live in?
How long have you lived at this address?
How many adults in the household?
How many children in the household? (Please also list their ages!)
Are any members of your household allergic to animals? Please describe.
Who in the household will have the main responsibility for caring for this pet?
Please describe the usual schedule of the main person who will be caring for this pet. How long will the dog be left alone on an average day? How will you handle caring for the pet if you need to travel? Please give as much detail as possible.
Fence/Yard/Crate Information:
Do you have a completely fenced yard suitable for a dog?
Do you have a kennel run?
Describe the fence or kennel run (type/height/size)
Do you have a suitable dog crate?
If no, are your willing to purchase one?
Other Pet Information
Do you own other pets?
If yes, please describe each pet. (Type, age, gender, spayed/neutered, etc) Please give as much detail as possible!
What will the sleeping arrangements be for your dog? (Will they be kept inside or outside?)
Please describe what has happened to any past pets. (were any returned to a breeder? did you have to give any away? Have to you taken a pet to a shelter? Or did they simply live happily until their passing?)
Do you have a regular veterinarian?
If yes, what is their name?
First Name Last Name
If yes, what is their phone number?
- Area Code Phone Number
Other Information:
How did you hear about Flyway Goldens? If you were personally referred, who referred you? If you found us online, what search terms did you use, or what website did you find us on?
To assure integrity in my breeding program and to continue to assist you in the care of your dog throughout its lifetime, are you willing to keep in touch periodically via email and phone communication?
Would you like to sign up for our monthly newsletter? It includes useful articles relating to the care of your dog, local events you may be interested in attending, and special deals and offers. (You may unsubscribe at anytime!)

Yes No
Should be Empty:

Flyway Goldens Puppy Questionaire

Please fill out all the information listed below and press the submit button when you are done! I look forward to working together with you to find your ideal puppy!

Contact Information:

Breed Information

Household Information:

Fence/Yard/Crate Information:

Other Pet Information

Other Information: