Your Contact Information

Full Name (First and Last):

Email Address:

Phone Number:

Address where you and your puppy will live

Street:

City:

State:

Zip:

Puppy Application Questions

I would like to be considered for the $100 paid wait list.
YesNo

Which litter are you interested in?
Gold FeverFurther in the Future

Please select your gender preference, or select no preference if this does not matter.
No PreferenceMaleFemale

Have you ever owned a Golden Retriever before? Please explain...

Why do you want a Golden Retriever?

Please list your household members and ages:

Please list any other pets within your household:

Tell us about the space your puppy will live in and how you plan to make it safe for them. Do you live in a house, an apartment? Do you have a private yard, do you have fencing, invisible fence, a lake, or pool?

What are the occupations of your household members?

Does anyone in your household smoke?

How many hours a day will your puppy be left home alone?

Will you crate train your puppy?

Would you consider your lifestyle active or sedentary?

I understand that Golden Retrievers are high-energy dogs and that they require ample daily exercise for good mental health and to avoid becoming destructive
Yes, I understand

I understand if I purchase a Golden Retriever puppy that my puppy will come with LIMITED AKC REGISTRATION and cannot be bred unless specific arrangements are made
Yes, I understand

I agree that I will always provide my puppy with ample food and water
Yes, I agree

I agree that I will always provide my puppy proper shelter and not leave he/she unattended
Yes, I agree

I agree that I will always provide my puppy with proper medical care, vaccines, etc.
Yes, I agree

I understand I cannot sell the puppy, rehome, or place in a shelter of any kind. If for any reason you can no longer care for the puppy (at any age) you must return to us. We do not provide refunds
Yes, I understand

I understand that Golden Retrievers puppies will nip and chew and have very sharp teeth at a young age. Goldens learn to use their mouths as pups and it's important you provide safe chews and teach Bite Inhibition
Yes, I understand

We will register our litter with AKC, you are required to individually register your puppy with American Kennel Club (AKC) with "MOOSE" as part of your dog's name (Examples: Wild Miles Moose). Not registering your puppy with AKC will void any guarantee.
Yes, I agree

Puppy Fees

I understand the cost of a Moose Golden Retriever puppy will be $3,500 for our upcoming litter, not including tax. Our fee includes:

• Non-refundable deposit of $500 - balance is due upon pickup

• De-worming as per our veterinarians discretion

• AKC Papers (limited) and Copy of Pedigree

• Veterinary Health Assessment

• DHPP Series 1 (Distemper, Hepatitis, Parvovirus, Parainfluenza)

• Moose Care Package

I understand the fees

Extras

Do you have any specific training plans for your dog? For example, I am looking for a pet, I am looking for a dog to train as a Therapy Dog, I am looking for a hunting retriever, etc.

As part of the Moose Goldens family, we have a private Facebook group for owners of our dogs to share information, exchanges notes, photos, and keep in touch with siblings, would you join this group?
YesNo

We try to host an annual meetup, would you be interested in attending such events?
YesNo

We meet and speak to a lot of people about dogs. If we've met, spoke online, have mutual connections or you referred to us by someone please indicate as much detail as possible to help refresh our memory.

Please provide any additional information you'd like to share with us.

How did you hear about Moose Golden Retrievers?

Agreement

By checking the box and entering your initials you agree that you have read our Puppy Agreement and agree that all the above information is true:
I've reviewed and I agree

Your Initials:

Δ