Name (First & Last) *

Today's Date *

Email *

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

City *

State *

Zip Code *

Are you aware that we only adopt to applicants in the Dallas-Fort Worth area? Our service area is limited to Dallas and Tarrant counties and the immediate bordering counties – Wise, Denton, Collin, Rockwall, Kaufman, Ellis, Johnson, Hood and Parker counties. *

Home Phone

Cell Phone *

Work Phone

Preferred Contact Number *

What is the best time/day to call? *

What type of residence do you live in? *

Do you own or rent? *

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. *

Who will be the primary caregiver? *

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. *

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. *

Are all current pets spayed/neutered? *

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): *

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? *

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

Do you provide your pet(s) with annual wellness exams at the vet? *

What is the name of your veterinarian practice? *

Please provide the name of your veterinarian: *

What is your veterinarian's phone number? *

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. *

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

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. *

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

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

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

Where will the dog sleep at night? *

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

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

What brand of dog food do you feed? *

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? *

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

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

Are you aware the Golden Retrievers shed year round? *

Are you aware that the adoption fee is $400 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 $800-$1,000 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. *

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

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

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