Golden Beauty Kennels
Puppy Reservation Application
First Name *
Last Name *
Email *
Phone Number *
Street Address *
City *
State *
Select one...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code *
Is anyone in your home allergic to dogs? *
Yes
No
What type of home do you live in? *
Single Family Home
Condo
Apartment
Townhome
Other
Do you own or rent the property above? *
Select one...
Own
Rent
What type of yard do you have? *
Select one...
Physical Fence
Electric Fence
Not Fenced
Other
Do you currently have any pets in the home? *
Yes
No
If yes to any pets, please tell us the type of animal, breed, age, and sex of each one
Have you owned a dog before? *
Yes
No
If yes, please list which breeds
Do any children live in the home?
Yes
No
If yes, please give us the age of each child
Which sex of Golden Retriever are you looking for? *
Male
Female
First Available
Will an adult be in the home most of the time for the first two months? *
Select one...
Yes
No
Do you acknowledge that you will have to spay or neuter your dog? *
Select one...
Yes
No
Are you aware that Golden Retrievers shed? *
Select one...
Yes
No
Are you aware that properly raising a Golden Retriever puppy is similar in effort and energy to raising a two year old toddler? *
Yes
No
How soon are you looking to bring home a new puppy? *
ASAP
In the next 6 months
in the next 12 months
unsure
How did you hear about us? *
Online Search
Social Media
Referral from a current owner
Referral in general
You know us somehow
Other
Is there anything else you think we should know about you and/or your situation?
Submit Application
