Puppy Application

Thank you for your interest in a puppy from 24Kt Retrievers! Please complete our puppy application form. All information provided is confidential and will be used solely for the purpose of placing a puppy.

About You

First name*

Last name*

Occupation

Email*

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Type of Residence

Household Setting

Urban

Suburban

Rural

Do you own or rent?

Own

Rent

Do you have children in the home?

Yes

No

Does anyone in your household have allergies?

Yes

No

Have you owned a dog before?

Yes

No

Current Pets (List type and number):

Preferred Puppy Gender

Male

Female

Do you have a veterinarian you plan to use?

Yes

No

Do you have a fenced yard?

Yes

No

Will the puppy live inside the house?

Yes

No

Do you work outside the home?

Yes

No

How many hours will the puppy be left alone?

Do you understand the time, energy, and money required to care for a puppy?

Yes

No

Any additional details you'd like to share:

24Kt Retrievers

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