Adopting - Adopting Application

Homeward Bound Golden Retriever Rescue and Sanctuary, Inc. -- RESCUE, the compassionate alternative.

Adoption Application

Contact/Personal First Name
Last Name
Email Address
Address
City
State
Zip
Phone
Mobile
Fax
Evening Phone
Occupation

Household Number of Adults In Household
Names Of Adults
Number of Children In Household
Ages Of Children

Current Pet(s) What pets to you currently own?
Are your current pets spayed/neutered
If not, what is the reason for not altering your pets?
Is the enitre family supportive of this adoption?

Dog Experience Do you have prior experience owning a dog?
Have you ever given up a pet before?
What was the reason for giving up pet?

Golden Interest Whydo you want to adopt a Golden?
Please describe the dog you are looking for
Are you intersted in a specific dog on the website?
Will you consider a senior dog?
Will you consider a pair of dogs?
What gender are you interested in?
Who will feed, exercise & train the dog?
Will you take the dog to training?
Where will the dog sleep?
How many hours will the dog be left alone
Where will thedog Be left alone
Who will care for your dog in your absence?
Do you have a current veterinarian?
I live in a
I own/rent
Do you have permission from your landlord to have a pet?
Landlord's Name
Landlord's Phone
Length At residence
Description of your yard and fencing?
Would you allow a home visit after the dog is adopoted ?
Does anyone have allegeries
How long to you plan to keep the dog?

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Homeward Bound Golden Retriever Rescue & Sanctuary, Inc. is an All-Volunteer,
501(c)(3) non-profit organization - Tax ID #68-0442702