Do you currently own a dog/s
First Name

Last Name




Zip Code

Home Phone


Your Occupation

Spouses Occupation

Please specify which litter
you are interested in:
Please specify
your interest in: 
How did you learn about us?
What makes you want to purchase a Golden Retriever puppy? :  
Do you prefer a Male or Female? :  
For what purpose(s) are you purchasing a Golden Retriever?
Do all family members want a new puppy? 
Are there children in the Family? 
Gender & Ages
(please) :
How many?
Do all family members want a new puppy? 
Have any family members ever been bitten by a dog?  (If so, please give details below) 
Are any family members afraid of dogs? 
If yes, please describe below:
Do you own or rent your principal residence ?
Where will the Golden
be accommodated
during the day:
If other then please describe:
Is someone home during the day, to house train the puppy? 
If "no", what kind of arrangements will you be making for your new puppy?
Do you have a fenced yard?  
Do you lock your gates?    
Do you have a chain link kennel run?       
If yes, what is the size?     
Please describe yard size and fencing:    
Are there covenant restrictions on owning a dog in your neighborhood? 
Are you committed to care for this dog's needs for his/her lifetime?  
Do you have other pets?   
If yes, please describe (breed & age)   
Are you willing to take this dog to
obedience classes so that he will
become an enjoyable companion
and an integral part of your family? 
Have you ever owned a puppy? 
If yes, when and what breed? 
Who will train this dog? 
Have you ever crate trained a puppy or dog?  
Have you ever completed an AKC title?    
If no, and you have had a puppy, please describe your decision not to crate train?
If yes, please list completed titles:    
What type of personality are you looking for in your puppy? 
If you ARE considering breeding this dog, are you prepared to obtain all of the following necessary clearances before breeding?
(OFA Hip and Elbow
clearances, CERF Eye clearance,
SAS Heart clearance)
Are you willing to spay/neuter this dog?   
Please include anything else that will help us place the right puppy with you:  
Please name 2 persons that we could contact for references.
If possible, please include one veterinary clinic who knows you

List names, phone numbersand emails
We will contact you via email  as soon as possible regarding  the availability of our puppies.
     Thank You,

  Robin and Maxie Bowen
All of our companion or pet puppies are sold with AKC Limited Registration and spay/neuter contracts. 

This means that the dog is registered with AKC,  however none of the offspring are eligible for registration.  

A dog with a Limited Registration as well as a spayed or neutered dog can compete in all AKC events except in the Conformation classes "Breed Ring".

* I understand that sending this application does not automatically entitle me to a dog.  I also understand that this application is just a beginning step in the interview process.

Please check this box >     *              and then the submit button >
Puppy Questionnaire                         
* Please complete this questionnaire fully and click the submit button below.

If you feel that any additional information would be helpful, please add it to the bottom of the form.

All information is kept confidential and used only by the Breeders/Owners of the litter.

Thank you for taking the time to help us match you with the right dog!

*  We only place our puppies in homes that have demonstrated to us a strong interest and capacity to provide a lifetime commitment to one of our special puppies.

If you plan to make this puppy a part of your family, please inquire.

If you want a dog to keep in the back yard and look at but not interact with other than feeding once a day, our puppies are not suitable for that purpose.
Please complete this entire form
Additional information about yourself/family
You will only need
30 minutes or so . . .
* We kindly request your full name, address and phone number . 

Also:  Web address if you have one. 
Welcome to Prism Goldens
Beautiful, Versatile & Correct Goldens
Golden Retrievers ~ Ocala Florida
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