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Name *

Email address *

Address *

Do you live in house, apartment, or townhome? *

Who will this puppy live with? *

Have you owned a Golden Retriever or dog? *

Where will puppy sleep? Where will they be kept majority of the time? *

What are plans for this puppy? Male or female preference and why? *

If something were to happen to puppy and needed medical attention how would you respond and what vet would you take them to? *

Do you have a fenced yard? How will you provide exercise? *

Did you view both pages of Health Agreement above this application? *

Any questions questions you have and what time frame are you looking at wanting a puppy? *

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