DONATE BY MAIL APPLICATION
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Please use your 'tab' key to navigate through the form. If the form is prematurely submitted, use the 'back' button in your browser to return and complete the form.
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1. Primary adopter first name:
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2. Primary adopter last name:
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3. Second adopter first name:
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4. Second adopter last name:
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5. Address:
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6. City:
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7. State:
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8. Zip code:
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9. Home phone number:
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10. Work phone number (optional):
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11. Cell phone number:
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12. E-mail:
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13. Best way/time to contact you:
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14. How many people live in the home?
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15. Are there any minor children living in the home? If yes, please list how many boys and girls and their ages.
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16. Do young children frequently visit your home? If yes, what are their relationships to you, and their ages?
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17. Do you own or rent?
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18. If you rent, do you have written permission from your landlord to have a Golden Retriever living in your home? (Please have written permission from your landlord or a copy of your rental agreement ready to present to home visit volunteer.)
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19. How long have you lived at your current address?
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20. Do you have a securely fenced yard? If yes, please tell us the type of fence and how high it is at the lowest point.
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21. Do you have a pool? If yes, is it separately fenced?
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22. Do you have a dog door?
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23. What pets do you currently have? For each, please tell us what type (dog, cat, etc.), age, whether the animal is altered, and indoor pet, outdoor pet, or both.
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24. Aside from your current pets, what other pets have you had in the last ten years? For each, please tell us the type of animal and why s/he is no longer with you.
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25. Your veterinarian's name, hospital, city, and phone number:
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26. What is the dog or pet limit in your city, county or HOA? (you can get this information by calling your local animal control authority and your home owner’s association)
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27. Does anyone in your home have pet allergies?
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28. Does everyone in the family want to adopt a rescue Golden Retriever? If not, why not? Any other breeds you’re considering?
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29. You would like a dog for: house pet, guard dog, companion, gift, companion for another dog, or other (please explain):
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30. How much exercise do you plan to give your dog?
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31. Are you interested in a purebred Golden Retriever, a Golden mix, or no preference?
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32. Describe the features of the Golden Retriever you would like to adopt (male/female, weight range, age range, etc.); please list any website dogs you feel would meet these criteria.
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33. How many hours each day will this dog be without human companionship?
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34. How long do you feel an animal should be given for an adjustment period?
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35. What type of training classes have you done with previous dogs? Was this helpful for you?
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36. What are your plans for training your new dog?
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37. What will you do if your new dog chews your belongings or shows other destructive behavior?
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38. What issues are you willing to work on with a new dog?
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39. What behaviors would be unacceptable to you?
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40. What actions would you take to correct these behaviors?
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41. Excluding your death, what conditions or circumstances would cause you to give up an animal?
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42. Where will your pet be kept during the day? And at night?
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43. How will your dog be confined to your property (please include all that apply)? In the house; in a crate or kennel; in a fenced yard; on a chain; in a garage; on a patio; other...
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44. Would you consider fostering a homeless Golden?
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45. Questions or comments:
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To submit your application, click "save" button ONCE.
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