Puppy Adoption Application
Use of this application
MapleHills Kennel LLC uses the information in this form and any other communication to aid in the selection of the best puppy for you/and your family.
Your Information
Last Name
*
First Name
*
Enter your Street Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Optional Phone Nmber
Email
*
Please retype the email for verification:
Optional Email
Will there be a Co-Owner
*
Yes
No
Co-Owner Information
Complete this section if there will be a co-owner
Last Name
First Name
Phone
Email
About your Home
Do you own or rent
*
Own
Rent
If you rent do you have permission for a 70 pound dog?
yes
No
Are there other dogs in the house?
*
Yes
No
If there are other dogs please list the breed and age of each
Please describe your family. Adults, children (with ages) others living with you.
*
Is this your first dog?
*
Yes
No
Have you ever surrendered a dog?
*
Yes
No
If you answerd yes please explain why
About your puppy
What litter are you interested in?
You can choose a current or future litter
What gender do you want?
*
Male
Female
Either
Help me decide
What are you looking for in this puppy
*
Competition - Hunt test, Agility, Obedience,etc
Therapy
Hunting
Pet
Other
You can pick more than one
If you selected other please explain. Describe what you want to do with this puppy.
How do you plan to give this puppy the proper excersize
*
These are field Golden Retrievers and require daily excersize
Please give us any other information that will help in the selection of the proper puppy for you
Where did you hear of MapleHills Kennel LLC
Your Website
From a friend
Puppy Find
Gun Dog Breeders
FaceBook
Repeat Customer
Golden Retriever Forum
Other
Your information
*
Please check the field for confirmation.
The information you have provided is confidential and for the use of MapleHills Kennel LLC only and will not be distributed.