Please complete the following form to help us know more about you and what kind of puppy you want. Name* Address Street Address City State / Province / Region ZIP / Postal Code Home Phone*Work PhoneEmail* PriceThe purchase price is $2,000. We require a $300 deposit to be sent after the phone interview. Please do not send the deposit until your application is accepted. Deposits are non-refundable.Do you agree to spay or neuter your puppy? (Spay between 7-12 months and neuter after 18 months.)YesNoDo you own an appropriate crate to begin potty training?YesNoWe highly recommend an undercoat rake for brushing your dog. It is the only one we use! Would you like an undercoat rake for brushing your dog?YesNoWould you be willing to use NuVet Plus supplements for your dog for at least the first two years, preferably it's life?YesNoAll Rolling Oaks Goldens are fed a quality dog food and NuVet Plus supplements. The natural, human grade ingredients are from an FDA-registered pharmaceutical lab in the USA. We have used many different supplements through the years and have never seen such amazing results for our puppies or senior dogs. TimingWhen would you like to get a puppy?Your FamilyAre you:SingleMarriedWhat is your spouse's name?Do you have children?YesNoWhat are your children's names & ages?What is your occupation?What is your spouse's occupation?Do your jobs allow you to come home mid-day for a new puppy?YesNoWho referred you to Rolling Oaks?Please provide a reference name & number (someone who knows you & how you are with dogs)Have you ever owned a dog before?YesNoIf yes, please answer the following questions, if not skip to puppy characteristics.What kind of dog did you own?How long did you have it?Is there a dog currently living in your home?YesNoIn the past, have you owned a dog & decided you could not or did not want to keep it?YesNoIf yes, why?Puppy CharacteristicsWould you prefer a:MaleFemaleSize?SmallLargeEitherColor?LightDarkEitherYour reason for this preference:If there is not a puppy available that is your sex preference, or if there are not enough puppies born in the litter you are waiting for, are you willing to switch to the opposite sex?YesNoExplain why you want a golden retriever.Please describe your “dream” dog and what its personality would be like. Example: calm, mellow or spunky, playful…Training & EnvironmentHave you read any books about raising or training dogs?YesNoIf yes, which ones?We recommend “The Art of Raising a Puppy” by the Monks of New SketeDo you have a fenced in yard?YesNoWhere will your new puppy live?How do you plan to exercise your puppy?Do you plan on training your dog?YesNoFor what? Obedience Hunting Therapy Companion Show Will you train the dog yourself?YesNoPlease give a brief description of your family life-style, and how you plan to incorporate a dog into your life.CommentsThis field is for validation purposes and should be left unchanged.