Name *

Last Name *

E-Mail *

Phone Number *

Street Address *

City *

State *

Zip *

Do you have children in your household? If so, what ages? *

Do you have other dogs in your house? If so, what ages and breeds? *

Have you ever owned a Golden Retriever before? If so, what kennel/breeder did your Golden come from? *

Why are you interested in owning a Tallgrass Golden Retriever? *

Are you interested in a male, female, or either? *Are you interested in a male, female, or either?*MaleFemaleEither

Have you ever competed in dog sports, including but not limited to *Have you ever competed in dog sports, including but not limited to*AgilityConfirmationBarn HuntOtherNone

Where will your puppy live? *Where will your puppy live?*Inside your homeFenced in yardOutside in kennel area

Do you have a fully fenced yard? If not, how do you plan to contain your puppy? *

Do you have a pool? If yes, is it fenced separate from the yard? *

If you are not local to our kennel, how would you transport your new puppy to your home? *

What is your plan to train your new puppy? *

Do you acknowledge and accept you will not have breeding rights to this puppy and agree to have your puppy neutered or spayed? *Do you acknowledge and accept you will not have breeding rights to this puppy and agree to have your puppy neutered or spayed?*YesNo

Is there anything you would like to add?

Where did you hear about us? *

2 + 3 = ?Please prove that you are human by solving the equation *