Application

IMPORTANT - APPLICATIONS ARE FOR 2021 LITTER(S)

Please answer all questions. If the question does not apply to your situation type N/A in the box.

GLENMAC GOLDEN RETRIEVERS - REDDING CA 96003

Our goal is to place each of our puppies in a well suited home where the puppy will meet the owner’s expectations AND the owners will provide a home that matches the puppy’s personality and takes advantage of the puppy’s talents and skills. To help with this process, we ask that you complete the following questionnaire to formalize your interest in one of our puppies. Acceptance of this form by Glenmac Goldens does not guarantee you a puppy but will enable you to be considered for one of our pups.

Contact Information

Address

Email/Phone

Is it ok to text your mobile number?

Family & Housing

Other Pets

Veterinarian

Clinic Address

(Providing Glenmac Goldens with this information you are allowing Glenmac Goldens to contact your vet. Please call your vet and ask them to authorize the release of the information to Glenmac Goldens.)

About The Dog You Wish To Adopt

References

Please provide names, addresses and phone number of people who could verify your qualifications and lifestyle--such as breeders of your present dogs, dog trainers, training partners, friends, and neighbors.

(Please provide first and last name and how you know them. Non family member preferred)

Personal Reference Address

(Please provide first and last name and how you know them.)

Professional or Business Reference Address

Statement of Truth

"By checking this box I promise that all of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian."


Typed Name Signature

By typing your name here you are signing this application/contract.

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