Twin Leaf Golden Retrievers

Margie Crable
6993 Sydney Court
Summerfield, North Carolina 27358
Telephone (336) 207-1884   twinleafretrievers@yahoo.com

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PLEASE PRINT AND RETURN TO BREEDER

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We ask that you answer the following questions. These questions are not meant to be judgmental in any way, but will allow Twin Leaf Golden Retrievers to have some insight into your situation and expectations. Please feel free to add any additional comments. We have included an area at the end of this form for additional space. Please understand that completion of this questionnaire is in no way a guarantee that a puppy will be sold to or reserved for you.

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Please print your responses neatly.
Date: _______________________________________________________________

Name: ______________________________________________________________

Address: ____________________________________________________________

City: _______________________________________________________________

State/Zip: ___________________________________________________________

Home: __________________________ Work/Cell: __________________________

Email: ______________________________________________________________

Gender Desired: _____Male ____Female

Sire _____________________________ Dam ______________________________

Note:    Shipping costs are around $350. Do you plan on picking up your puppy or having him/her shipped to you?

1. Number of members in your household?

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2. Do you have children? (If yes, please include ages)

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3. Are all members of your household away during the day?

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4. If so, what provisions will you make for your puppy at that time?

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5. Does anyone in your family suffer from allergies?

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6. Does anyone who lives in your home, or who is a frequent visitor, a smoker?

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7. Do you own a swimming pool? If so, is it fenced separately from the yard, with no entrance under it?

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8. (a) Have you contacted any other breeder(s) about getting a puppy from them? If yes, who?

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(b) Have you put a deposit down on a puppy?

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9. Have you owned a dog before? If so, what breed(s) did you own and what happened to it/them?

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10.Do you own your own home or do you rent? If you rent, does your landlord allow dogs? 

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11. Do you currently have any pets or livestock? (If yes, list types and ages)

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12. Will they adapt to another animal in the family?

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13. How did you decide on a Golden Retriever? Do you have a color preference? (cream, gold) Why?

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14. Why do you want a puppy vs. adopting an adult dog?

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15. What will you do with the dog/puppy if it does not work out for you?

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16. Do you agree that if at any time you are unable to keep your dog/puppy - for whatever reason - you will need to contact Twin Leaf Golden Retrievers for assistance in placing him/her in the manner that is best suited to its particular needs?

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17. Where will your dog sleep?

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18. Do you have a fenced yard, or fenced exercise play area for your dog? If so, what size? If not, are you willing to construct one of these before the puppy comes to live with you?

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19. Do you understand that we will not allow a puppy obtained from Twin Leaf Retrievers to be tied or chained up in any manner? Do you understand why we insist on this?

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20. Do you understand that Golden Retrievers thrive on human attention and cannot be isolated from the rest of the family?

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21. Do you understand that a puppy purchased from us must be a part of the family and not be a dog that lives outdoors all the time?

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22. What Veterinarian do you plan to use? (Please list name, address, & phone number)

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23. Please list one additional reference of someone who knows you, your family/work life and any past relationships with pets (Please list name, address, & phone number).

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24. Do you plan on using a crate to help house-train your pup? If not, how do you plan on house-training?

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25. Who will be primarily responsible for the care, grooming, and training of your dog?

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26. Have you ever taken canine obedience courses? Do you plan to take them with this dog?

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27. Are you interested in doing any other type of training with your dog? (Conformation, agility, hunting trials, tracking etc.)

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28. Briefly tell us the attributes you would like your puppy/dog to possess? What energy level?

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29. What do you expect from us, the breeders of your pup?

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30. Are you prepared to feed a premium dog food to your dog? (We can give you recommendations)

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31. Do you understand that your dog must be neutered/spayed?

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32. Do you understand that we sell all of our puppies on a non-breeding contract as required by the Golden Retriever Club of America (GRCA) and that it may not be bred unless this contract is removed by mutual consent?

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33. Do you understand that if you decide to purchase a puppy from Twin Leaf Golden Retrievers, we do require a $500 deposit to reserve a puppy for you, which will be deducted from the purchase price?

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34. Do you have any problem with natural care and supplements for your dog?

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35. Will you allow a home visit by the breeder or breeder’s representative (if too far away) before a puppy is placed in your home?

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By signing below, you agree to all the conditions listed above and state that the information you have provided is accurate and true.

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Signed: ________________________________________ Dated: ________________

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