Puppy Application

All puppies are sold on a Limited Registration.

Gender preference of puppy:

Male

Female

Creekstone Retrievers

Cell number:

How did you hear about us?

If "No", how would you provide a secure area for your puppy?

Please provide 2 contacts:

Name: *

Which litter of puppies are you interested in?

Why have you chosen a Golden Retriever?

Please provide your veterinarians contact information, if none, recommendations are available.

Email: *

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Main phone number: *

Address: *

Do you have a fenced yard? *

Yes

If "Yes", what kind of pets do you own?

Do you currently own any other pets? *

Yes