Name
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First Name
Last Name
City/State of Residency?
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Phone Number
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Email
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How did you hear about Rifka Retrievers?
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What does your timeline look like for adding a puppy to your home?
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ASAP
1 to 3 months
3 to 6 months
6 to 9 months
9 to 12 months
12+ months
Are you looking for a male or female?
Male
Female
No Preference
Prefer Male, ok with Female
Prefer Female, ok with Male
Do you have any interest in breeding this dog in the future?
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Yes
No
Possibly
Based on studies within our breed are you ok waiting until after 18 months of age to spay/neuter this dog?
Yes
No
How many people live in your home?
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1
2
3
4
6
6
7
8
9+
Do you rent or own your home?
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Rent
Own
Other
Are there any children in the home? If so please list ages.
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Describe your home/yard setup. Where will the dog spend sleep/hang out?
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Why are you interested in a puppy from Rifka Retrievers?
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Who will care for this dog if you become incapacitated, temporarily or permanetly?
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How many hours per day will the dog be home alone?
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Will you crate train this puppy? Please explain your answer.
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Do you understand, and are you willing to take responsibiity for this dog for the next 10+ years?
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Have you ever returned a puppy/dog to the breeder or rehomed a puppy/dog? If yes, please explain the situation below.
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How many dogs do you currently own and what are their breeds?
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Have you ever owned a field bred Golden Retriever before? If yes, how recently?
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Why do you feel a field bred Golden Retriever will be the best fit/addtion to your family?
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Who are your favorite trainers or what are your favorite training books?
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What are your training goals for this puppy?
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What puppy/training classes are available locally to you?
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Are you familiar with Puppy Culture and positive reinforcement based training?
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Yes
No
I'm Not Sure
How do you plan on housebreaking this puppy?
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Do you currently have any other pets in the home besides dogs? If so please list them.
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Is your yard completely fenced? If yes, what type of fencing?
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What would a WEEKDAY look like schedule/activity wise for this puppy?
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What would a WEEKEND DAY look like schedule/activity wise for this puppy?
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What areas do you plan to pursue training/competing in with your new puppy?
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How would you handle a situation like this?
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The dog you brought home was your next hopeful agility, obedience, or field superstar. Unfortunately, that dog ends up disliking your sport of choice and stresses/worries or just doesn't enjoy it. Please tell us how you would handle that situation as the owner/trainer.
If I ask for references from your veterinarian, trainer, and/or friends, will you be willing to provide me with their contact information?
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Yes
No
Other
Think of a time where you experienced dissapointment in training or show/trial? How did you handle/overcome it and what did you learn from it?
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Are you aware of the recent studies/issues with grain free foods and DCM in goldens?
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Yes
No
Are you ok signing a contract stating that regardless of circumstances if this dog is unable to continue living with you in your home it would be returned to the breeder?
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Yes
No
What questions/concerns do you have for us? We spend hours getting to know our puppy homes and we are here for you to answer any questions you may have!
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Please include any other important information you'd like us to know about you below!
