Adoption/Fostering Application « Golden Retriever Rescue Club of Charlotte

Adoption/Fostering Application

To be considered for adoption or fostering, the applicant must check and agree to all terms and conditions of the application and it must be completed in its entirety. Without this completed agreement, your application cannot and will not be considered for adoption or foster approval.

Adoption Eligibility Requirements | Fostering Eligibility Requirements

IMPORTANT: We use the same application for adoption and fostering.
Please indicate below which you are applying for.

I have read the eligibility requirements:
Adoption Fostering
I intend to apply for an exemption to one or more of the eligibility requirements as noted on the adoption information page:
No Yes
If yes, please provide information on the eligibility requirement for which you intend to apply for an exemption.
Applicant:
Full Name:(required)
Age:(required)
Co Applicant:
Full Name:
Age:
Relationship of the Co Applicant:
Spouse Partner/Significant Other
Parent or Guardian Other
If other, please specify
Address:(required)
City:(required)
State:(required)
Zip Code:(required)
Home Phone:
May we call you at work?
Yes No
Work Phone:
Cell Phone:
Best time to contact you.
Email:(valid email required)
Other people who will be living with dog: (indicate name, age, gender, relationship to applicant and whether a part-time or full time resident of the household)(required)
Why do you want to adopt a Golden Retriever? (required)
Pet is primarily for:
Adult Child
How did you learn about GRRCC?
Are there any persons in the home with conditions or allergies that may adversely affect the care of dogs?
No Yes
If Yes, please describe:
Type of home.(required)
Do you own or rent?
Own Rent
Do you have permission to have a dog over 50 lbs?
Yes No
Do you have a fenced-in yard?
Yes No
Approx. Dimensions:
Fence type.
How high.
Do you have a swimming pool?
Yes No
If yes, does it have a separate safety fence or secure enclosure?
Yes No
If yes, please describe.
Is your lawn chemically treated?
Yes No
How often?
During a typical day (6:00 am to 6:00 pm), how many hours will the dog be at home without an adult present? (required)
Who will be primarily responsible for the care of this animal? (required)
Will this be your first dog as an adult?
Yes No
Your first Golden as an adult?
Yes No
List any other pets you own now: if dog(s), include breed(s)
If you have a cat, is it de-clawed?
Yes No
If yes – front, back or both?
Front Back Both
Is your pet spayed or neutered:
Yes No
On Heartworm Preventative?
Yes No
Current on vaccinations?
Yes No
Do they get along with other pets?
Yes No
Have you ever bred a dog?
Yes No
Do you plan to breed dogs?
Yes No
Have you ever surrendered to a shelter, sold, or given away a pet?
Yes No
If so, please describe the circumstances:
Have you had a pet die because of age, illness, accident or euthanasia?
Yes No
If so, please explain:
Where will the pet be kept during the day/night?(required)
Most of the time, will your dog:
Have free run of the house. Be in blocked off parts of the house.
Use a crate. Be tied outside. Live in the yard.
Please provide more information about where your dog will spend his/her time. Be specific for both day and night:(required)
Are you familiar with the use of a dog crate to train and/or confine the dog while you are not there?
Yes No
Are you willing to crate train?
Yes No
Where will the dog stay when you are not at home?(required)
Will your dog be allowed on the furniture or bed? Please elaborate if dog is allowed on some, but not all, furniture/beds.
Are you aware that Goldens are active and that they shed year-round?
Yes No
Do ALL members of the family want this dog?
Yes No
Are you aware that a Golden Retriever is a large dog and may jump and knock down children or the elderly?
Yes No
How often would you groom your dog (or have it groomed)?
How will you exercise your dog (include how, where and frequency).(required)
Do you plan to take an obedience course with your dog?
Yes No
Have you ever taken one?
Yes No
Are you aware that routine costs of maintaining a dog average $800 to $1000 per year?
Yes No
May we contact your veterinarian?
Yes No
Primary Veterinarian Information
Name:
Full Address:
Phone Number:
Please provide a little information about the Golden you are Interested in:
Do you prefer:
Male Female Does not matter
Age preference (choose all that apply)
0 - 6 months 6 months - 1 year 1 year - 3 years
3 years to 5 years 6 years to 8 years A Senior over 8
Would you consider a dog over the age of 10?
Yes No
If there is currently a dog on our website that you are interested in, please tell us which one.
We encourage you to tell us about yourself and your family, including any special activities in which your GRRCC dog would be included.
If you have any special requirements or requests for a dog, please let us know so that we can more carefully match a dog to your lifestyle.
I/we attest that the Terms and Conditions of Adoption has been read in full by me/us and I/we understand that it is part of the adoption process and will be enforced.
Yes No
I hereby authorize my veterinarian(s) to release confidential information about my pets and my pet care.
Yes No
If you obtain a dog elsewhere, please notify us so we can remove your application from our files.
Submitting a complete application does not guarantee adoption of a dog from GRRCC.
ADOPTION FEES: (payable upon adoption)

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