Adoption Application Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Puppy Preference Select all that apply. Male Female No Preference I plan on having this dog for? Companion for Myself Family Dog Service Dog Work Therapy Dog Work Other What other pets are living in your home? * No other pets Other goldens Other Dogs Cats Other Other pets and animals include: My lifestyle is best described as: Very Active (weekly running, hiking, biking, etc.) Mildly Active (we take walks with our dogs and play fetch) Rarely Active (the dog will likely get most of its exercise in the backyard)
