Name
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First Name
Last Name
Email
*
Phone
Country
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Were you referred to us by anyone?
What line of work are you in?
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What type of home do you live in?
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If renting, please provide your landlord’s name and address:
How long have you lived at your current address?
Is anyone in your household allergic to dogs? How severe?
Does anyone in your family smoke? Inside?
Please list all of the occupants of your household, including children, and their age:
Do you have a moderately sized, fenced backyard?
How will the puppy be secured outside?
Do you live in an urban, suburban, or rural area?
Will you be a first-time dog owner?
Please describe your involvement with dogs over the past ten years. This includes all the dogs that you have owned, fostered, or had a meaningful relationship with.
Do you currently have other animals? If yes, please describe their species/breed, sex, and personality:
If you currently have dogs, what do you feed them?
Who will be the primary caregiver of the puppy?
Where will the puppy be kept during the day?
What reference materials have you read?
Who is home during the day?
How many hours per day will the puppy be left alone?
How will you feed and exercise a young puppy during the day?
How many hours per day will the puppy be left outside?
Where will the puppy go if you travel or move?
Do you have friends and family that could watch the puppy in case of emergency?
Do you want a male or female puppy?
Male
Female
No Preference
What kind of activity level do you want your puppy to have?
How did you hear about this breed?
Please describe your history in training animals, and your preferred methods of training:
Have you ever house trained a puppy?
Do you intend to enroll in training classes?
Yes
No
If yes, describe the classes you are interested in taking, and at what age you want to begin:
Please describe what activities you hope to do with the puppy:
Are you interested in conformation?
Yes
No
Have you shown dogs to their Championship before?
Are you interested in competition events, such as tracking, obedience, or rally?
Have you earned a competition title before?
Please describe further if you intend to compete in competition events:
Are you interested in using this puppy to hunt?
Are you interested in using this puppy to compete in hunting events?
If so, describe how you will train and engage with the hunting community:
Do you understand the difference between a limited and full registration?
Are you comfortable with waiting until eighteen-months of age to spay or neuter the puppy?
Please list your previous pets and detail why they are no longer with you. Do not include pets currently living with you if included previously:
Have you ever given away a pet, returned a dog to a breeder, or surrendered a dog to a rescue organization or animal shelter? If yes, please describe the circumstances:
If requested, would you have the puppy’s eyes checked by an ophthalmologist to acquire CERF registration? (This helps us gather data about our breeding program to improve future generations)
Would you have any problems with maintaining contact with Venture Golden’s regarding your puppy’s health, development and general information throughout the life of the puppy?
If you are unable to keep puppy for any reason, are you willing to notify breeder and return puppy or allow breeder to assist with placement?
Please provide three references below. If you currently have animals, one of the references should be your current veterinarian:
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Please provide any additional information you think would be beneficial regarding placement of a puppy with you or your family: