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ADOPTION APPLICATION

NORCAL Golden Retriever Rescue, Inc. (NGRR) is a non-profit, volunteer organization dedicated to finding new homes for displaced Golden Retrievers. I understand that an adoption includes payment of an adoption donation as shown on our Adoption web page. Donations help us pay for vaccinations and any other medical treatment for the Goldens that are surrendered to us. Donations may be adjusted for very senior or special needs Goldens. We provide training information and support to help our dogs adjust happily to their new lives. You can find additional information about NGRR on our web site, www.golden-rescue.org, or by calling our hotline, (650)615-6810, to obtain the number of the NGRR agent residing in the county nearest you.

So that we can make the best possible match between dog and new owner, we request that you fill out this application and return it to the NGRR address on the back. Thank you!


Date:   Other Adults in Household [list full name and occupation for each]:
Name:    
Street Address:    
City/State/Zip:   Children in Household (list age for each):
County:    
Telephone: [Home]  
  [Work] Pets in Household (list age, sex and breed for each):
Occupation:    
Why do you want to adopt a Golden Retriever?
 
 
 
Describe the dog you are looking for (age, sex, color, other): 
 
 
 
Will you consider a senior dog (age 8 and over), or a pair of dogs?
Describe any prior experience you have with owning dogs?
 
 
Have you ever had to give up a dog? Why?
 
 
Who will feed, exercise and train the dog?
Will you take the dog to training classes?
Where will the dog sleep at night?
How many hours will the dog be alone each day?                                       Where will it spend this time?
Who will take care of the dog in your absence (vacations, emergencies)?
Who is your veterinarian?                                                                                                                  Phone?
Address:
Rev. 0-1/Feb 1999 Web (over) Page 1 of 2

ADOPTION APPLICATION (continued)

Do you live in: Apartment Condo Single Family House Other Acreage:
Do you own or rent? Own                   Rent How long have you resided at this  address?
If you rent, do you have written permission to have a dog?
Landlord's Name: Phone:
Address:
Describe your yard and fence:
May we visit your home before and after you adopt this dog?
Does anyone in your home have allergies?
How long do you plan to keep this dog?
Is your whole household supportive of this adoption?
Signature(s) of Applicant(s) Date
Signatures of All Other Adults in Household Date

( Completing this form does not necessarily guarantee an adoption )

Please return application to:
NGRR
405 El Camino Real, Suite 420
Menlo Park, CA 94025-5240

 

 

For NGRR Internal Use Only:

Date of Visit:  By Whom:
Comments:
Rev. 0-1/Feb 1999 Web    Page 2 of 2