Puppy Application

                    Kodiak Kennels
                   6247 York Rd SW
                      Pataskala, Ohio 43062
                         (740) 964-1142
               Email: [email protected]

                             Potential Puppy Buyer Application

Your assistance in completing this application will help us place the right puppy with you and better meet your needs. It is also to help us be assured that our puppies will be going to good homes. These questions are not meant to be judgemental in any way, so please feel free to be candid in your responses. After you have answered the following questions you can either email this form back to us, or send it by regular mail. Thank you for your interest in our Goldens.

NAME:                                                                  PHONE:

ADDRESS:                                                                                CITY:

STATE:                                                                                      ZIP CODE:

OCCUPATION:                                                                       WORK PHONE:

How did you hear about us?

Do you prefer a male or female?                                             Why?

If the sex is not available, will you accept a puppy of the opposite sex?      YES:                    NO:

For what purpose are you purchasing a Golden Retriever? (Please check all that apply)

Family Companion:                 Show:                Obedience:                   Hunting/Field

Breeding Prospect:                   Pet Therapy:                      Agility/ Flyball:

Do all of your famly members want a puppy?      YES:                                  NO:

Do you have children? What ages:

Do you currently own a dog?                   AGE:                                   BREED:

Do you currently have any other pets?     What Types:

Do you rent or own?                     If you rent, have you checked with your landlord about getting a dog?

Can we call to verify with your landlord? Name:                                                  PHONE:

Does you home have a fenced in yard?

Where will the puppy be kept during the day?

Where will the puppy sleep at night?

Do you plan to crate train the puppy?

Do any of your family members have allergies to dogs?

Have you thought about how you will housebreak your new puppy?

Will you be willing to go to obedience classes so that your new puppy can become a treasured companion ?

Do you have a Veterinarian?               If so, can we contact them for a reference?

VET NAME:                                                                                                            PHONE:

When this puppy is purchased as a family companion and is not going to be bred, do you agree to have it SPAYED
by 6 Months of age or Neutured no later than ONE YEAR of age, and submit a Veterinarian Certificate to the breeder as proof of surgery for our records?

If this is a Show Puppy, Is there any references we could contact such as, Breeders, Trainers, Vets, Exhibitors etc.?

Please tell us what you are looking for in a Golden Retriever, and what type of activities you would like to pursue?

What do you expect from a Golden Retriever?

ANY OTHER COMMENTS: This is where you can tell us anything that you would like us to know so that we can better assist you in finding the right puppy.

Thank you for completing our application. Please return this to the address listed above or you can email it to us.
If you should have any questions or concerns about an upcoming litter or the purchasing of one of our puppies, please don't hesitate to contact us.