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 : Hours Minutes AM PM 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? Yes No Previously owned dogs Animal(s) present in the home Are you committed to caring for this dog for its lifetime (approx. 15 years)? Yes No Are you willing to spay/neuter this dog? Yes No If 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? Yes Family InformationNoMarriedSingleChildren's Ages Occupation of Adults in Family Others in household that will have contact with dog Do you live in Urban Home Suburban Home Rural Home Apartment Where will the dog stay during the day? Where will the dog stay during the night? NameThis field is for validation purposes and should be left unchanged.