Smoke Tree Goldens :: Puppy Form

SmokeTreeGoldens

P.O. Box 295
Maple Valley, WA 98038
425-413-5348

Randy and Julie Schepper
Dave and Sally Maryatt

Your Information

How did you hear about our dogs?:
Your Name:
Email:
Phone:
Occupation:
Spouse's Name:

Home Address

Address 1:
Address 2:
City:
Zip:
Country:

Residence

Type of Residence (house, condo, townhouse, etc)?:
Do Own or Rent?:
If you rent, have you discussed having a dog with your landlord?:
Landlord Name:
Landlord Phone Number:
Is your yard completely fenced?:
What type fencing?:

Other Details

Have you ever owned a Golden or any other dog?:
How did you decide that a Golden Retriever is the breed you wish to own?:
Do you prefer a puppy or young adult?:
Do you prefer Male or Female?:
Do you have children?:
What Are Your Children's Ages? (separate with a comma):
Are all members of the family ready for a dog?:
Do any members of your family have any type of allergies to dogs?:
Will someone be home during the day with the puppy?:
If not, is someone available to feed puppy noon time feeding?:
Are you willing to crate train your puppy?:
Are you willing to take puppy to socialization classes and/or obedience classes?:
Where do you plan to attend classes?:
Do you currently own any other pets?:
Please list all Pet Type(s) / Age(s)?:
Have you ever had to euthanize a pet other than for old age?:
If so, could you please tell us the circumstances?:
Do you understand that you would be purchasing this puppy on a limited registration and that you agree to have this pet neutered?:
Are you willing to let the breeder or a friend of the breeder come to your house to visit the puppy or dog at it’s new home?:
Are you willing to have your pups hips x-rayed by 24 months old to help us with our breeding program?:
Name/address/phone of your veterinarian?:
Do you agree not to let this dog ride in the back of an open vehicle?:
Do you agree never to tie this puppy/dog up as a means of confinement?:
Are you willing to keep us informed of any problems which may develop with the pup throughout it's life?:
We have thorough read and understand the above questionaire and feel that I/we are ready to accept the responsibility of a new puppy/dog. I/we agree to provide adequate health care for our new pet and a loving and playful environment and necessary discipline. I/we agree to keep our puppy/dog at an appropriate weight for the health of our pet..:

At SmokeTreeGoldens we
honor and respect all the
dedicated Breeders who
have come before us and
given so much for the
benefit of all who follow.