GRRALL Adoption Application

Name (First & Last) *

Your answer

Date *

YYYY

Email *

Your answer

Physical Address (please do not list P.O. boxes) *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

Are you aware that we only adopt to applicants in the Dallas-Fort Worth area? *

Yes

Home Phone

Your answer

Cell Phone *

Your answer

Work Phone

Your answer

Preferred Contact Number *

Home

Cell

Work

Required

What is the best time/day to call? *

Morning

Afternoon

Evening

Weekday

Weekend

Other:

Required

What type of residence do you live in? *

Apartment/Condo

Townhome

House

Do you own or rent? *

Own

Rent

If rent, please provide name, phone number, and email address for landlord. *

Your answer

If you rent, we need a landlord reference. Please have your leasing office/landlord write up a formal statement on letterhead including the pet policy and a statement that you are allowed to have a large-breed dog. They can email it to us here at grralladopts@gmail.com. Please note that we cannot proceed with your application until this is received. Indicate below that you have read and understand this requirement. *

I rent and will have the required information sent.

Not Applicable (do not rent)

Please list the NAMES and AGES of all individuals who live in the residence, including yourself. Please specify if any are home during the day. *

Your answer

Who will be the primary caregiver? *

Your answer

Do you have a dog door? *

Yes

Is your yard securely fenced? *

Yes

What type of fence do you have? *

Chain Link

Wrought Iron

Wood

Invisible

No Fence

Other:

How high is your fence? *

Live in an apartment/condo

Under 4'

7'+

Other:

Do you have a pool? *

Yes

Do you plan to use a tie-out at any time? *

Yes

Have you ever owned a dog before? *

Yes, including a Golden Retriever

Yes, but never a Golden Retriever

Is anyone in the home allergic to dog hair/dander? If yes, please explain and provide info on how you will manage the allergy. *

Your answer

Are all members of the household in agreement with a new dog? *

Yes

Please list name, species, breed, and age of all pets currently in the household, and indicate if they are spayed/neutered. *

Your answer

Please provide information on all pets you have had within the last 5 years (dog or cat, how long ago, what vet you used for those pets): *

Your answer

Have all current and recent dogs been kept on heartworm prevention? *

Yes

Please state the brand/type of heartworm prevention you use for your current/recent dog? *

Your answer

Do you purchase heartworm prevention outside of your veterinarian's office? If yes, please email proof of purchase to grralladopts@gmail.com *

Yes

What is the name of your veterinarian practice? *

Your answer

Please provide the name of your veterinarian: *

Your answer

What is your veterinarian's phone number? *

Your answer

What name(s) are the vet records listed under? Please provide pets' names and the client's name. If they are under a maiden name or from a previous marriage, please provide that information. *

Your answer

By clicking this box I am authorizing an agent of GRRALL to contact my veterinarian for a reference *

Required

Have you ever surrendered a pet to an animal shelter or rescue group or rehomed an animal independently? *

Yes

If yes, please explain the circumstances. Tell us when, what kind of pet, where you surrendered the dog (name of shelter/rescue/or private rehome), and why you surrendered the animal. *

Your answer

Where will the dog be kept when you are not home? *

Your answer

How many hours a day will the dog be left unattended? *

Your answer

How many hours a day will the dog be left outside unattended? *

Your answer

Where will the dog sleep at night? *

Your answer

Will the dog be crated? If yes, how many hours a day? *

Your answer

Where will the dog stay when you go out of town? *

Your answer

What brand of dog food do you feed? *

Your answer

How many times a day do you feed? *

Once

Twice

Food left out all day

Will the dog be allowed to have furniture access? *

Yes

Are you willing to adopt a dog that is not yet housetrained? *

Yes

Are you willing to adopt a dog that has special needs? *

Yes

Are you willing to adopt a Golden mix? *

Yes

Are you planning obedience training? *

Yes

If you are planning obedience training, have you selected a training facility? If yes, where? *

Your answer

Please tell us a little bit about your approach to training and what methods you prefer to use. *

Your answer

Please select all collars you have used previously and/or intend to use with your next dog: *

Shock Collar

E-Collar - Vibration Only

E-Collar - Beeping Only

Prong/Pinch/Starmark Collar

Choke Chain

Martingale Collar with Chain

Martingale Collar with Fabric

Head Collar/Halter (e.g. Gentle Leader or Halti)

Harness

Rolled/Flat Collar

Other:

Required

Are you aware the Golden Retrievers shed year round? *

Yes

Are you aware that the adoption fee is $300 and that any puppy adopted out on a spay/neuter contract requires an additional $100 deposit. *

Yes

Are you aware that the maintenance costs of a Golden Retriever average between $600-$800 a year for routine care? *

Yes

Is there a specific dog(s) on the website that you are interested in? If yes, please list. If no, please list age and gender preference. *

Your answer

Please explain why you want to adopt a Golden Retriever: *

Your answer

Please provide any additional information about your family or lifestyle that you think shows why you would be a good adoption applicant. *

Your answer

I understand that submitting this application does not guarantee placement of a GRRALL dog. GRRALL reserves to right to refuse placement for any reason. *

Required

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