First name
Last name
Address
Telephone
Email
How did you hear about us?
Your Occupation:
Spouse's Occupation:
Please describe the type of housing situation you are currently living in:
Ages of the people living in your home:
If you travel out of town, what will be the arrangements for your dog?
During the night?
Will you use a crate to train your dog?
Yes
No
If you have other pets, please list:
Have you owned a Golden Retriever before?
Yes
No
If so, what happened to him/her?
Please list any specific requirements you would have for you next dog:
Do you have a fenced in yard?
Yes
No
What are your plans for this puppy?

Contact Us Today!

Barefoot Goldens
88 Middle Road 

Naples, Maine 04055


Phone: 207 210-7165 207 210-7165

E-mail: info@barefootgoldens.com

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