Puppy Questionnaire

Thank you for taking your time to fill out this questionnaire. We will contact you as soon as possible.

Please make sure you have read through our process and our policies

regarding purchasing a "Jersey Golden Retrievers" puppy.

First Name

Last name

Phone

Ocupation

Number of members in the home

Ages of members

How did you hear about us?

Do you rent at your current address?

Do you work? How many hours?

Who is going to take care of the puppy during the day?

How many hours a day will the puppy be alone?

Are you aware that all of our puppies are sold limited AKC registration, meaning no breeding rights?

Are you aware that the $500 deposit is non-refundable?

Have you ever owned a dog before?

Do you have other pets in your home? If so, please list the type, if they are spayed/ neutered, and the ages of each.

Please provide the name, relationship, and number of at least two references.

Anything else you would like us to know?

Thanks for submitting!

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