On-Line Adoption Application Form

04/20/13

Generally, we don't adopt to families with children under five (5) years of age. We only make exceptions to families that can demonstrate to our satisfaction that all children under 5 have lived with and successfully interacted with large dogs. This policy is for the benefit of your children.  The goal is to make the adoption process more realistic and set the realistic expectations for prospective applicants.

Expect the adoption process to take from one to eight months.  Placements are made according to what is best for the Golden. It is not a first-come first-served basis, but rather which family is the best match for the dog. Each Golden comes to us under unique circumstances and has individual needs that we strive to meet. In addition, each family also has individual circumstances which are taken into account in making a placement.  The more specific your requirements, the harder it will be to find just the right dog for you from our rescue group, as we can never predict what dogs we will have available at any given time.

There is a $10 non-refundable Application Fee (link opens in a new window), we reserve the right to deny an application for any reason.  Application Fee does not apply to fostering. 

There is an adoption fee of $325.00 ($175.00 for a Senior Dog) for approved applicants.  If you are fostering and you decide to adopt that dog, the total adoption fee will be $325 or $175 for a senior dog.

We generally have a waiting list so the process can take from a week to several months depending on the type of dog you want.  Please remember the more specific your criteria the longer it may take to find a dog for you.  Factors such as young children, work schedules and lack of a fence may make some dogs unavailable to you.  Dogs come in and are adopted almost daily.  So, if you are patient, an appropriate dog should be come available. If you are looking for a dog quickly, then our program may not be right for you. 

Please be very careful to answer each question, should you skip an answer, you will need to press your back button to complete the question.  You may keep typing at the end of a line to complete an answer if needed.

NOTE:  We can not consider applicants outside the state of Texas due to the inability to complete the home visit portion of our interview process.  We do not ship or transport dogs.  If you are from Texas but outside the Austin area, and wish to work with us, you must be willing to drive to Austin to meet and adopt the dog.  We must have a GRR Volunteer in your area who will be able to complete the home visit portion of the application process.

Home Phone with Area Code (please use format xxx-xxx-xxxx)
                                  Work Phone   Other Phone  

E-mail: (if more than one put a comma with no space in between such as tim@xyz.com,tjt@abc.com)

I am interested in Adopting Fostering Either

What are your typical work hours?

Type of dwelling:  House Apartment Condo Other     

Do you Own or Rent your home, if Rent do you have the landlords permission to have a dog over 50 pounds? Own Rent - Have Permission Rent - Do Not Have Permission   

Do you have stairs, if yes, how many flights of stairs?   Do you have an elevator?

Landlord's Name:

Landlord's Phone:

Do you have a fenced yard? Yes No  

Number of Adults living in household Select Number 1 2 3 4 5 6 7 8 9 10 11+

Ages and sex of adults living in household

Number of children living in household Select Number None 1 2 3 4 5 6 7+

What are the ages and sex of children living with you or frequently visiting?

Are any residents allergic to animals or dander? Yes No  

Do any residents have asthma? Yes No If Yes, how is it controlled?

Why do you want a Golden Retriever?   

 What type of dog are you looking for? (check all that apply or No Preference)
 

Age Preference:   *Families with kids under 5 will not be considered in thie category.	0-6 Months*	6-12 Months*	1-2 Years*	3-4 Years	4-5 Years
	5-7 Years	Senior (8+) years	No Preference
Energy Level Preference:	Couch Potato	Average	High	No Preference
Sex Preference:	Only Male	Prefer Male	Only Female	Prefer Female	No Preference

Have you ever bred dogs? Yes No       Do you plan to breed dogs? Yes No

What pets do you currently own?  List the type, age, and sex of each pet: 

Have you ever owned a dog? Yes No   If yes, please list the dog(s) breed, ages, sex and what happened to them:  

Where will the dog be during the day while you are at home?  

Where will the dog be during the night? 

Where will the dog be when left home alone (example: at work, running errands, etc.)?  

Number of hours dog will be alone each day ?

How will the dog be exercised? 

Who will care for your pet when you and your family are out of town?
 

Are there any special activities the dog would participate in (Hunting, Running, Hiking, Swimming, Camping, etc.)?   

Are you willing to consider a special needs dog (i.e. blind, deaf, thyroid medication, etc.)? Yes No  

Have any of your pets ever been diagnosed positive for heartworms? (if this does not apply, please answer no) Yes No

If you move what will you do with your pet?  

Do you have a current Veterinarian? Yes No  If yes, Please provide the following information:

Is there a dog you found on our web page that you think most matches with your needs?

Is there anything else you would like us to know in considering your application?  

What other rescue groups are you currently working with:

What other rescue groups have you worked with in the past:

Are you prepared to provide for the dog for the next 10 or more years?

Good dog care in our area can cost $1200 annually. This includes annual vet care, inoculations, parasite testing, monthly heartworm & flea preventative, quality dog food, toys, miscellaneous equipment, boarding/kennel fees, grooming and other supplies.
This does NOT include any injuries, or illnesses the dog may incur. 

Will you spend this to support a dog?  Yes   if no, please do not submit this application.

How did you hear about Gold Ribbon Rescue Select Internet (specify below if by search engine or how you found us) Newspaper Petfinder.com Friend Yahoo pets Other
If Internet or Other please describe:

Pressing the submit button below will begin the application review process.  GRR reserves the right to refuse any applicant.