Puppy ApplicationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease share your Instagram or Facebook *Puppy PreferencesGender *FemaleMaleOpenInterested in: *English Cream Golden RetrieverDark Golden RetrieverPet HistoryHave you ever owned a Golden Retriever before? If yes, please provide details *Why do you feel a Golden Retriever would be a good fit for you? *Personal InformationBriefly describe your family (children, if any):Primary Caregiver and Living ArrangementsWho will be the primary caregiver for the puppy?Financial CommitmentIf approved, I understand that a $350 holding fee is required to join the waitlist. If you are joining a litter pick spot the required holding fee is of $850. This fee is transferable to another litter but non-refundable.AgreeDisagreeRefund PolicyI understand that the holding fee is non-refundable but can be transferred to another litter. *AgreeDisagreeHow Did You Hear About Us?How did you learn about our Golden Retrievers? *TimelineWhat is your timeline for getting a puppy? *Any additional Comments or Questions?Submit
