Thank you for taking the time to complete our adoption application, we will be in touch with you, shortly.
There was an error submitting the form.
APPLICANT AND FAMILY INFORMATION
Name:
Address:
City and State:
Home Phone:
Cell Phone:
E-Mail address:
Occupation:
We would like to get to know you better so we can find a Golden Retriever who will work for you and your family (including your pets).
Does anyone else live with you?
How do they feel about adopting a golden?
Do you have Children?
Yes
No
If so, what are their ages?
Do they have experience with dogs?
Do you have other pets? If so, how will they be with a new dog in the house?
Are your current pets up to date on vaccinations and heartworm preventative?
Are they spayed/neutered?
Do you have a yard? Approximately, how big is your yard?
What type of fence and/or wall do you have around your yard?
What is the height of the fence/wall?
Is your yard enclosed?
Yes
No
CARE OF ANIMAL INFORMATION
Have you ever owned a Golden Retriever before? Can you tell us about it?
Can you tell us why you would like to adopt a rescued Golden Retriever?
Is anyone at home during the day?
Where will the dog be when you're at home?
Where will you leave the dog when you're not at home?
What ways will you interact with the dog? (tell us a little about your activities so we can make sure your dog matches what you love to do)
Do you have any experience training dogs? If so, can you tell us a little about it?
Are you able to assume financial responsibilty for a rescued Golden Retriever?
Do understand what is involved in the care and treatment of a rescued dog?
PREFERENCES - The best match for you
Do you feel more comfortable with a younger or older rescued Golden Retriever?
What age group are you considering?
PUPPY - a few mos to 1 year
ADOLESCENT - 1 to 2 years
ADULT - 2 to 8 years
SENIOR - 9 to 13 years
Would you consider foster parenting while you are waiting for your perfect Golden Retriever?
Would you consider a Golden Retriever mix?
Yes
No
Would you consider adopting two Golden Retrievers?
Yes
No
Are you able to take a Golden Retriever with special needs? (injury, phobia, shyness)
Yes
No
Tell us what type of tempermant is best for your family? (hyper, calm, etc.,)
What is the best advantage of your home as a permanent home for a rescued Golden Retriever?
REFERENCES
Veterinarian Name/Clinic:
Address:
Phone Number:
