Adoption Application

 

Name:

Address:

City: State: Zip Code:

Phone Number: Email:

Why do you want to adopt a Golden Retriever?

Is there anyone in the home that may be allergic to dogs? Yes   No

Do you own your own home?  Yes  No

Do you rent?  Yes  No

If renting will your landlord allow a dog over 50 pound?  Yes  No

Do you have a fenced yard?  Yes  No

If yes, What type and height of fence?

Where will the dog be kept during the day? 

Where will the dog be kept at night?

Is anyone home during the day? Yes  No

How long will the dog be left alone during the day?

Do you have other animals and if so do they get along with other pets? Yes  No

Goldens shed all year, will you groom him yourself or use a groomer? 

Goldens are active and need exercise.  Will the dog be walked daily? Exercised in a fenced yard?  Be allowed to run free? Explain:

Do you plan to take an obedience course? 

Please provide the name, address and phone number of your most recent veterinarian:

May we contact your Veterinarian?  Yes  No

Rescued Goldens range in age:  Are you interested in adopting:

Puppy (9 wks-2 years old) Adult (2+ years old) Senior (9+) Does not matter

Do you prefer: Male  Female  Does not matter

Would you consider a special needs dog, such as one who requires medicine for a permanent but controlled condition?  Yes  No  Depends on the condition

Please tell us about yourself and your family, including special activities that your dog would be included:

IF YOU ARE NO LONGER ABLE TO CARE FOR THE DOG ADOPTED FROM US, WE REQUIRE YOU CONTACT US AND WE WILL TAKE HIM/HER BACK OR APPROVE A HOME YOU HAVE FOUND.  IS THIS AGREEABLE?  Yes  No

Applicant's Signature

Co-Applicant's Signature

Adoption Fees:

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