Application Application Application Name First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email PhoneGood time to call if we need to reach you : HH MM AMPM How were you referred to us?Are you interested in obtaining one of our Goldendoodles forCompanionShow and BreedingObedienceHuntingWhat qualities do you like in the Goldendoodle breed?Additional CommentsIs this your first Goldendoodle?YesNoPreviously owned dogsAnimal(s) present in the homeAre you committed to caring for this dog for its lifetime (approx. 15 years)?YesNoAre you willing to spay/neuter this dog?YesNoIf not, why?If you are considering breeding, do you promise to have this dog OFA certified for hips, eyes, and cardiac (a $3000+ expense) and to consult us prior to breeding? YesFamily InformationNoMarriedSingleChildren's AgesOccupation of Adults in FamilyOthers in household that will have contact with dogDo you live inUrban HomeSuburban HomeRural HomeApartmentWhere will the dog stay during the day?Where will the dog stay during the night?EmailThis field is for validation purposes and should be left unchanged.