PLEASE NOTE:  To reserve and acquire a puppy from "Solid Rock Goldens", it is
required that this form be completed and sent to "Solid Rock Goldens", along with
your $400 deposit to hold an American Golden Puppy or your $500 deposit to hold
an English-Cream puppy.











Name____________________________________________________e-mail_________________
Address____________________________City______________State____________Zip________
Home Phone _________________ Work Phone ________________ Cell Phone______________
I prefer to be called at: ______ Home   ______Work  ______Cell
E-mail address that I may be reached at _________________________
How did you hear about Solid Rock Goldens? _________________________________________

PREFERENCES
1.  At what age would you like to get the puppy? ________________________________________
2.  I would like a   _____male    _____female    _____not sure    _____no preference
3.  I would prefer a __very light golden  __light golden  __golden  __dark golden  __no preference
4.  Do you plan on breeding this dog? _______ yes   ________no   _______not sure
5.  Do you plan to pick up puppy or do you need shipping or delivery arrangements made?
___________________________________________________________________________
If shipping or delivery, to what city and state? _______________________________________

HOUSING INFORMATION
1.  Do you own or rent your home? ________
If you rent, do you have the landlord’s permission to keep a dog? ________
Would you mind if I contacted them to confirm this? _________
2.  Do you have a secure yard / exercise area? __________
Please describe_____________________________________________________________
If not, how do you plan on handling your puppy’s potty needs?

HOUSEHOLD INFORMATION
1.  How many adults in the household? ______   How many children? ______
Ages of children ___________________________________
2.  Occupation of adult #1_________________________________________________________
Occupation of adult #2_________________________________________________________
Occupation of adult #3_________________________________________________________

HOUSEHOLD PET INFORMATION
1.  Do you own other dogs? ____________
Please describe each one (breed & age)___________________________________________
___________________________________________________________________________
2.  Do you own cats? _______   Is yes, how many? _____________
3.  Do you have other animals? ________ If yes, please describe__________________________
___________________________________________________________________________
4.  Have you ever owned a Golden before? ___________
5.  Why did you choose this breed? _________________________________________________
6.  What are your plans for this dog: Pet_____ Guard____ Hunting____ Show____ Other_______
7.  Unless "showing" privileges are requested and agreed to in writing between "Solid Rock
Goldens" and myself, I understand that I am acquiring this puppy with a "pet pedigree" for a pet
home only.  (Your signature: If e-mailing, type your name here): ___________________________
8.  How much time each day do you plan on spending with your puppy / dog _________________
9.  How do you plan on house and obedience training your puppy? ________________________
___________________________________________________________________________
10.  Will this puppy be primarily ______indoor or ______outdoor?
Where will this puppy / dog sleep? ______________________________________________
11.  Do you have a regular vet? ____________
If so, would you mind if I contacted him / her? _________
There name:___________________________________
Phone #_______________________________________
12.  If you do not have a vet, could you list a personal reference?
Name________________________________________
Phone # ______________________________________
QUESTIONNAIRE FOR NEW PROSPECTIVE PUPPY HOMES
THANK YOU FOR INVESTING THIS TIME IN SEARCH OF YOUR NEW FAMILY MEMBER.
Please understand these are just some questions to help us get to know you
and understand what your plans are for your future “fury” family member.  We
believe that a puppy is a great delight and a big responsibility.  It is OK if you
do not know the answer to some of the questions below.  If needed, we enjoy
sharing from our experience to help you in training your puppy.
You may print and send this page in with your puppy deposit, or to expedite
matters, you may copy and paste this page, complete the questionnaire, and
email it to us at jjkramm@yahoo.com.