SkyRiver Golden Retrievers

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Puppy Questionnaire / Application

If you are interested in on of our puppies, or a particular litter, please fill out the form below. Fill in every field, in order for us to best match you to a particular puppy or litter. Thank you for your interest.

** ATTENTION: if you have a Yahoo email address, please contact us directly at
Too many spammers use Yahoo addresses, so they are being blocked by both Yahoo and Gmail.
Contact Information:
Full Name: *
Home phone:
Cell phone:
Email: *
Puppy Information:
Gender preferred:

Color preferred: No Preference Red Gold Blond
(Please note: we breed and choose puppies based on temperament and talent first and foremost, not just color alone.)

Litter or timeframe preferred:

What is your main goal for your puppy:

Qualities you are looking for in a puppy (please list):

Field / Performance Event Experience

In which type of retriever activities are you involved?
- Please check all that apply

Which titles/accomplishments have your retrievers achieved?
 - Please check all that apply

Please specify:


You and Your Potential Puppy

What are your long-term plans and goals for this puppy? Please check all that apply, and explain below:

Retriever Training - Waterfowl / Upland

Do you currently use a professional trainer?

No Yes Not Really

Your current professional trainer:

No matter who your trainer is, we recommend someone who is familiar with Goldens, and enjoys training them. Are you interested in learning more about the Retriever / Hunting Dog training programs we offer at SkyRiver Goldens?

Yes I am Not right now Already a Client

If you plan to train the pup yourself, do you follow any particular training program?  Please provide details here:

Have you ever owned a Golden Retriever before? Please describe
(Field, pet, conformation/show, obedience, etc):

Please tell us about the home in which your potential puppy would be raised.  (Family, children, yard, farm, other dogs, other animals, activities, pastimes, etc)

If you intend to have your pup shipped, list your first and second choice of airports for shipping in order to receive your pup:
- There will be an additional charge for airport delivery and health certificate fee

1st choice airport:   
2nd choice airport:

** We do not sell dogs for breeding purposes, and we do not guarantee that any of our puppies will be "breeding quality" dogs **

Some field Goldens produce puppies with small white patches on toes, head, or chest that normally disappear with age. Are you opposed to ANY small white markings on your puppy?

No Yes

I understand all information contained herein, and I certify that all information contained in this form is true and correct.

Full Name: Initials: Date:

Where did you hear about us?


SkyRiver Golden Retrievers
Quality Field Bred Golden Retrievers
Choral & Sean Jeffries
Ellensburg, Washington

AKC Breeder of Merit
Bright Star Website Design