McPaws Application for Adoption  
Phone (561) 362-0996
Email TMcClurg@earthlink.net
Todd & Teresa McClurg
575 NW 14th Ave.
Boca Raton Fl. 33486

Please note that we only accept applications with a full non refundable deposit of $250. We require either a check or money order made out to Teresa McClurg. The deposit goes towards the total adoption fee.  If paying by check the balance is due one week prior to picking up your golden puppy.

Name _______________________________________ Date of Application___________

Address _____________________________________________________________
 
City             __________________________ State ___________ Zip ________________

Phone Number ____________________ Alternate Number _______________________

Email Address_______________________________  Method of Payment __ Check __ Money Order  

PLEASE CHECK ALL INFORMATION OVER SEVERAL TIMES TO MAKE SURE ALL INFORMATION IS CORRECT BEFORE EMAILING OR MAILING.

How did you hear about us? ___________________________________________

Is your Golden Retriever to be for ______companion  _______ breeding  _______ sport 
________obedience _________ agility _________or show?

Do you prefer a ___ female or ___ male? Why? _____________________________

Do you have children? ________ If so, what ages? ___________________________

If you have children do they have experience with dogs? _______________________

Size preferences ___ Standard ___ Large

Which puppy do you like the best (by collar color)?  1st Choice _______________ 2nd Choice __________________ 3rd Choice_______________________.

When would you like to have your Golden puppy? ___________________

Have you ever owned a dog before? _______ What Kind? ______________________

Animals present in home now? ___________________________________________

Does everyone in your household want a new puppy? ______________________

What veterinarian do you use? _________________________ May we call him for a reference? _______ Phone number________________________________

What is your level of experience with dogs?______________________________

Does your home have a fenced in yard? ______ If not where will you exercise  your puppy? ___________________________________________________________

If you work will the puppy be alone all day? _____________________________

If you do work will someone be able to take him out for a mid day potty break? _________________________________________________________________

Where will you keep the puppy during the day? _________________________________

Where will the puppy sleep at night? ___________________________________

Are you aware of the amount of time and energy it takes to take care of a puppy and are you willing to give it that time and attention? ___________________________________________________________

Can you comfortably afford the costs of puppy expense, shots, wormers, food?____________________________________________________________

Are you willing to spay/neuter this dog? ________ If not, why not? __________________________________

Do you own, rent or live in an apartment? Please describe so we can best pick out your puppy.____________________________________________________________________

Will your Golden Retriever live inside or outside?  _________________________________________

How would you best describe your lifestyle? _____very active_____ active __________ mellow __________ couch potato.

What else can you tell us that would help us determine which puppy is best for you? Please describe any circumstance that may help us to help you. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Thank You!