Name:                Date:          

Street Address :

City:          State:     Zip:

Home Phone:Work Phone:

Cell: Please check the phone(s) you prefer for contact

E Mail:

What are your interests in a Doublegold retriever? Hunt Hunt Test Field Trial

Agility Obedience Search and Rescue Family Pet and Companion Only

Do you have other pets? Please list

Where will you house your puppy?

Please tell us a little about your family. Single? Family

Will one or more family members have primary responsibility for this puppy? Please list names 

Will children spend time helping raising and training this puppy?

Will you train the puppy yourself? Send the puppy to a professional trainer?

Have you housetrained a puppy before? YES NO

Do you plan to spay or neuter your puppy? YES NO

Are you requesting breeding rights for your puppy? YES NO

Deposit holds choice for hunting/competitive ability. If you do not hunt/compete, are you willing to allow Doublegold to select the puppy that best suits your needs?

Note: Puppies are not selected on the basis of color only. Hunting/competition homes are given preference for puppies exhibiting competitive potential and hunting ability, regardless of color. However, if all things are equal, the preference for color is honored, based on order of deposit. Order of deposit does not allow prospective buyers to select from all puppies in a litter. It does permit the buyer to select from those that meet the proper qualifications.

If you will hunt will you primarily hunt for Waterfowl Upland Game Both