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Golden Retriever Rescue
All Rights Reserved
Adoption Application:
Name:
Co-Applicant:
Co-Applicant Relationship:
Please select
Spouse
Partner
Significant Other
Home Address:
City:
State:
Zip Code:
Example (99707-9999)
Mailing Address:
City:
State:
Zip Code:
Example (99707-9999)
Day Phone:
May we call you at work?
Yes
No
Home Phone:
Other - Cell Phone:
Best time to call:
E-mail Address:
List other people that
will be living with dog
and their relationship:
Why do you wish to adopt?
How did you hear about GRRF?
Do you live in a
Please Select
House
Apartment
Condo
Mobile Home
Do you have a yard?
Yes
No
Do you have a fence?
Yes
No
Will anyone be home
during the day?
Yes
No
Will anyone be home
at night?
Yes
No
Where do you plan
on keeping the dog?
List any other pets
now living in the home:
If dogs are they spayed/neutered?
Yes
No
If you have had other dogs, please describe circumstances/
what became of the dog
Are you familiar with
dog crates and their uses?
Yes
No
Will the dog be allowed
on the furniture or bed?
Yes
No
Are you aware that
Golden's are active and
are you prepared for that?
Yes
No
Do you plan on taking
your dog to obedience class?
Yes
No
If yes where?
Have you ever taken
an obedience class?
Yes
No
If yes where?
What type of dog
are you looking for?
Please select
Male
Female
Either
Will you accept a Golden cross?
Yes
No
A special needs Golden?
Yes
No
Notes / Other comments:
All the above information is true to the best of my knowledge. The dog will reside in my home as a pet. If my application is accepted, I understand that it is my responsibility to see and evaluate the dog for myself before adopting it.
Click the submit button to send your application to GRRF.