New Puppy Application Test Personal Information First Name * Last Name * Email Address * Address * Primary Phone Number * Secondary Phone Number City * State * Select your state... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other (Non-U.S. state or country) Zip * Please tell us which non-US state or country you live in, with any applicable details * Where did you find us? * Select an option... Yahoo search Bing Search Google Search Next Day Pets PuppyFind Breeders.net Referral- Please let us know who in the box below Other- Let us know who below Please tell where you found us(if selected "Other" or "Referral" above)? Why would you like to own a pup from us? * What made you choose Recherche Goldens as breeders? * Your comments... General Inquiry What gender of puppy are you looking for? * Select an option... No Preference Only Male Only Female Prefer Male Prefer Female Would you plan to breed this dog? * Select an option... Yes No Maybe Would you spay or neuter your dog? * Select an option... Yes No Maybe Have you ever raised a puppy? * Select an option... Yes No Do you have any pets now? * Select an option... Yes No If so, what kind? Your Home How many people live in your household? * Do you have any children? * Select an option... Yes No If so, what are their ages? Is someone in your household home during the day? * Select an option... All of the time Most of the time Some of the time Not much Never If not, where will your dog be kept while you are out? What type of home do you live in? * Select an option... House Apartment Condo/Townhouse Other Where will your dog spend most of his time when he is at home? * Do you have a fenced yard or other enclosure for a dog, if so please describe? * You must agree to provide your dog with proper housing, food and veterinary care for it's lifetime: * I agree Recherche Goldens Have you ever owned an English Golden Retriever before? * Select an option... Yes No Tell us when you were desirous of getting a puppy? * What type of energy level where you looking for in a Golden? * Select an option... Extremely Calm Somewhat Calm Average Slightly Outgoing Very Outgoing Don't Know No Preference What type of personality are you looking for in a Golden? * Select an option... Very Independent- Happy being alone Slightly Independent- Happy being alone but still with us Middle of the road Slightly Dependent- Happier being with us but not extremely Very Dependent- Desires to be with us at all times Don't Know No Preference Which training level are you interested in? * Select an option... Puppy Academy- training till 12 wks Canine College- training till 16 wks Masters Program- training till 20 Weeks Doggy Doctorate- training till 6-7 Months Doggy Double Doctorate- training 8-12 Months Don't Know Which puppy were you most interested in? PLEASE notice prices on this list! * Select from below... Ms. Red from Bailey/Aspen's Litter- </br> ($15,900 at 16 Weeks of Age) Ms. Yellow from Faith/Amos Litter-$12,900 at 12 Weeks of Age 2nd Pick Girl from Asha/Amos Litter- $12,900 at 12 Weeks of Age 3rd Pick Boy from Asha/Amos Litter- $12,900 at 12 Weeks of Age No Preference Would you need your puppy shipped via plane or would you pick up your puppy in person (we are in Statesville, NC)? * Select an option... Definitely Shipped Probably Shipped Definitely Pick-Up In Person Probably Pick-Up In Person Don't Know If you were to have the dog shipped, which major airport would be closest to you? * Is there anything you would like us to know that hasn’t been covered in this application? Do you have any questions you’d like to ask us about Recherche Goldens or about Golden Retrievers in general? * Before submitting this form, you must have read through our entire FAQ page on this website (including Pricing, Puppy Academy, etc...). I have read through the puppy page and watched the video (if applicable) and saw the prices (prices start at $10,000) * Check this box here to confirm reCAPTCHA NOTE: Once you click "Submit", your information will be sent and you will be forwarded to a confirmation page. Your information has been sent and we will get back to you as soon as possible.