DOG ADOPTION APPLICATION

PLEASE READ ADOPTION PROCESS FIRST- Click Here

Email:
First Name:
Last Name:
Occupation:
Address:
City:
State:
Zipcode:
Home phone:
Work Phone:
Mobile Phone or Alternative:
Coapplicants Name:
Age of applicants:
Coapplicant Occupation:
Do you have children at home:
If Yes what are the ages of your children?
How did you hear:
If you have adopted from us before please tell us when and any info about your dog(s) you would like to share with us:
Do you own or rent your home:
Does Your Home Have Stairs?:
What is the youngest dog you will consider:
What is the oldest dog you will consider:
Please indicate your preference for dog gender:
Do you require an AKC registered dog:
Would you accept a mixed breed:
What activities would the dog be participating in:
What type of fence do you have:
Height of fence :
Plans on controlling your dog outside without a fence. :
Where will the dog spend its time during owner's working hours:
Where will the dog sleep at night:
On average how many hours per day will the dog be left alone:
Will the dog be crate trained?:
Will the dog be taken to obedience class:
Have you ever owned or lived with a dog before:
Have you ever owned a Golden Retriever or Golden Retriever Mix before?:
Breeds and Ages of Dogs Currently In Your Home:
Are These Dogs Spayed or Neutered:
What other pets do you own:
Are your other pets spayed or neutered?:
Under what circumstances would you give up any of your pets?:
Names of dogs on website that are of interest:
Veterinarian:
Please list three references with phone numbers (no family members):
Additional information :
Would you consider special needs or a medical condition:
Are you ready to adopt a dog now?
I have read and agree to the Privacy Policy:

I attest all information I provide is true. I promise to care for a Golden Retriever to the best of my ability, with the full intent of keeping the dog for the duration of its life.

I also agree to keep a quick release collar with tags on the dog, provide quality dog food, adequate shelter, veterinary care and training as needed.

GRRR requests a donation of $400 (Seniors age 8 and over are $250 and puppies are $600 plus spay/neuter deposit of $100) at the time of adoption to help cover GRRR’s expenses. These prices include chip registration. Adoption rates for Istanbul, Turkey Goldens are under 1 year old $800, over 1 year old $600.