GRRALL Adoption Application
Name (First & Last) *
Your answer
Date *
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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? *
Home Phone
Your answer
Cell Phone *
Your answer
Work Phone
Your answer
Preferred Contact Number *
Required
What is the best time/day to call? *
Required
What type of residence do you live in? *
Do you own or 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. *
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? *
Is your yard securely fenced? *
What type of fence do you have? *
How high is your fence? *
Do you have a pool? *
Do you plan to use a tie-out at any time? *
Have you ever owned a dog before? *
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? *
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? *
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 *
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? *
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? *
Will the dog be allowed to have furniture access? *
Are you willing to adopt a dog that is not yet housetrained? *
Are you willing to adopt a dog that has special needs? *
Are you willing to adopt a Golden mix? *
Are you planning obedience training? *
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: *
Required
Are you aware the Golden Retrievers shed year round? *
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. *
Are you aware that the maintenance costs of a Golden Retriever average between $600-$800 a year for routine care? *
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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