Do you currently own a dog/s
If so, how many?
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.
We thank you for your cooperation and interest.
Your full name, address and phone number  (Please)
Also: (web address if you have one)
First Name

Last Name

Address

City

State

Zip Code

Home Phone

E-Mail

Your Occupation

Spouses Occupation

Web URL


          Additional information about yourself/family
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? 
* 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. .
Childrens
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)
 
   Please review and then
              submit this completed questionaire.    >
Are you willing to spay/neuter this dog?   
Please include anything else that will help us place the right puppy with you:  
References
Please name 2 persons that we could contact for references.
Please include one veterinary clinic who knows you (if possible)
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

I understand that sending this application does not automatically entitle me to a dog.
I understand that this application is just a beginning step in the interview process.
If necessary
use this reset button to start over.
Dont forget column 2     >>>>>>>> >>>
-- Please complete the entire form --
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).

Puppy Questionnaire 
  © 2006 Robin Bowen                                                                  Contact   -   Robin and Maxie Bowen                                            WebDesignbyBob.com
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Puppy Questionaire
"Love is Golden"
Our Dogs:
Welcome to Prism Golden Retrievers of Tennessee
Welcome to Prism Golden Retrievers of TennesseeWelcome to Prism Golden Retrievers of TennesseeWelcome to Prism Golden Retrievers of Tennessee
Welcome to Prism Golden Retrievers of Tennessee
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