Puppy Application Form

Thank you for your interest in welcoming one of our golden retriever puppies into your home! We’re excited you’re taking these next steps in the process. We look for loving families who are committed to providing a lifetime of care and love to one of our precious pups.

We’d love to learn more about you and your family!

Please take a few moments to fill out this application so we can ensure the perfect match between you and one of our puppies. We appreciate your time and thoughtfulness in completing this form. If you would prefer to fill the form out and email it to us you can download the form below.

We accept applications only from committed families who have talked to us and are ready to place a deposit within 72 hours of submission. Applications not accompanied by a deposit within this timeframe will no longer be kept on file.

All inquiries and expressions of interest must be sent via email or by giving us a call. 

If you’re interested in a puppy, please reach out—we’d love to hear from you!

Download Puppy Application Form
Country Lane Retrievers Puppy Application Form
Name
Address
Do you live in an Apartment / House / Condo / Other?
Do your Rent or Own your Home?
Does your Landlord Approve of Pets? (if applicable)
Ex. Active, Relaxed, Travel Frequently, Work from Home etc. Note: Country Lane Retrievers offers boarding services if you travel frequently
Do you have a Yard?
Is your Yard Fenced In? (if applicable)
Do you currently own any pets? Please List (Livestock?)
If you currently have other pets, Are they spayed or neutered?
Have you ever had to rehome a pet?
What Personality are you looking for in your puppy? Note, we will not allow a high energy puppy to live in a condo setting. 
Have you ever owned a dog before?
Do you plan to spay or neuter your dog at the appropriate age?
What do you need the dog for?
Gender Preference
Would you like to sign up for our Raise & Train Program
For more information on our Raise & Train programs, visit the Raise & Train Program link in our navigation.
If yes, which level of program
Application Responsibilities & Acknowledgement