Adoption Application


Adoption Terms and Conditions

Before completing your Adoption Application, please read the Terms and Conditions of Adoption on our Adoption Agreement.
 Adoption Agreement with Terms and Conditions


Please initial that you have read the Terms and Conditions of Adoption and will abide by them.


Please fill out the form below. Your application will be automatically sent to the appropriate people in the organization. So as not to delay or complicate the process, please answer all the questions as completely as possible. Omitted information requires a follow-up and may introduce significant delay.

Name

  

Street Address 1

  

Street Address 2

  

City

  

ST

   ZIP



How can we contact you?

Home Phone

  

Mobile Phone

  

Work Phone

  

Email

  

Why do you want to adopt a Golden Retriever?


Name and ages of people who will be living with the dog?



Do you live in a....

  

Do you have a fenced yard?

  

Where will the dog be kept
during the day?

  

Where will the dog be kept
at night?

  

Is anyone at home
during the day?

  

Who?

  

Is this your first dog?

  

Is this your first Golden?

  

 List other breeds
you have owned

  

 List any other pets you have and
if they are spayed or neutered?

  

 Do they get along with other pets?

  

 Have any of your dogs
ever had heartworms?

  

 Are all dogs you own currently
on heartworm preventative?

  

Will your dog be allowed on the
furniture or bed?

  

Are you aware Goldens are active
and shed all year long?

  

Do you plan to take an obedience
course with your dog?

  

Have you ever taken obedience training?

  

If so when?

  

Are you aware that routine costs of maintaining a Golden averages $600-$800 per year?

  

Are you aware the initial cost of the Golden will be approximately $200-$275?

  



Please provide the contact information for your most recent Veterinarian. GRRNT will contact your Veterinarian. Please contact him/her and give permission for us to discuss your past pet history prior to GRRNT's call.

Veterinarian's Name
Clinic Name
Street address
City
ST
 ZIP
Work Phone



Please state your dog preferences -- age, color, size, etc.

Would you prefer ....

  
Will you consider a Special Needs Dog that requires medications for a permanent but controlled condition?  



If you wish, please tell us about yourself and your family, including any special activities in which your GRRNT dog would be included.
 


If you have any special requirements for a dog, please let us know so we can more carefully match a dog to your life-style.
 


Are you interested in volunteering with Golden Retrievers Rescue of North Texas?  


How did you learn about Golden Retriever Rescue?

Before you submit this form please review your entries and be sure you have provided clear and complete answers.