Blackpool's Adoption Screening Questionnaire

We appreciate your taking the time to complete this application and provide the necessary information. The Golden Retriever is an amazingly intelligent, playful and sweet companion.  It is very devoted to its owners and immediately shows its affection for you and your family from the moment you bring it home.

  The Golden is born to live in your home and not in a patio, basement or a kennel. They get very lonely outside and will become boredom barkers. The Golden requires exercise to develop bone, muscles and cartilage. They should never be neutered or spayed in their first year of life. They love to fetch balls and love to train. There can be no doubt that the Golden is one of the world's most devoted companion animals.

Completion of this application does not ensure you will receive one of our puppies and we may not have puppies for several months at the time you do apply. The questions are meant as a tool to help us get to know you a little better and if you should have any questions for us please don't hesitate to ask away. When you have finished the application please print off a copy for your own records and then click on the Submit button. We will contact you to acknowledge receipt of the application.

 





Name       Address
Phone (home) City & Code
Phone (work) E-Mail Address
How many individuals involved with Goldens do you know?
Type of dwelling? Home      Condo      Apartment      Other 
How long have you lived at this address?
If renting, please give name and address of building and description of green spaces nearby.
Who will be the primary caregiver?
Where will the puppy be kept during the day?  
During the night?
How many hours on average will the puppy be left alone?
Will someone be available to feed/exercise the puppy during the day? Yes           No
Have you ever owned a dog before? Yes           No
What kind?
How Long?
If you do not own the dog any longer, why not?
Does anyone in your household have allergies to animals? Yes           No
If yes, to what and how severe?
Have you consulted with your allergist about getting a Golden? Yes           No
What sex do you prefer? Male          Female
Preferred age  
What is your expected energy level of the Golden to be?
Have you ever housetrained a dog before? Yes           No
Will you be attending any training classes? Yes           No
Beginning at what age for the dog?
IF you have ever given away a pet before, please list the circumstances.
Have you ever turned a pet over to a shelter or pound? Yes           No
Under what circumstances?
Are you interested in conformation shows agility and/or obedience?
Have you ever shown a dog to its championship? Yes           No
Do you intend to breed this dog? Yes           No
Are you willing to sign a spay/neuter contract if purchasing a pet? Yes           No
Do you have a fenced yard or other suitable pen for your Golden? Yes           No
Who referred you to us?
Do you have any questions?

     

Thank you for you time and patience.

Blackpool Goldens

Owned and Loved by Goldens Michele and Darryl Tuominen

Shanty Bay, Ontario, Canada

705-728-4741

Copyright © 2009 - All rights reserved.

Revised:December 25th, 2009