Online Adoption Application

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Section One

If you live out of state and should your application be approved and you're matched with a dog, are you willing to drive all the way here (Cleveland/Akron OH area) to meet a new dog, bringing the entire family and any other dogs you currently have?

First Name*

Last Name*

Age*

Address*

Address 2

City*

State*

Zip Code*

County*

Phone*

Alternate Phone*

Best Time to Call*

Your Email Address*

Section Two

Is this an application to?*

Our Goldens vary in age. What age will you consider?*

Which do you prefer?*

Would you consider a special needs Golden? i.e., requires medication* Yes No

On a scale of 1-6, with 6 being a highly energetic dog and 1 being a very quite dog, what activity level are you looking for in this adoption?*

Will you consider a golden mix?*

Will you consider a pair?*

When will you be actually be ready to receive a new dog?*

Section Three

Have you previously had pets?

If yes, please tell us about them, including their names and the time period you had them. If no, enter "no pets*

Are there other pets in your home currently?*

If yes, please tell us about them. If no, enter 'no pets'*

Are your existing pets spayed/neutered?*

If no, please explain. if your pets are spayed/neutered, enter 'n/a'*

HEARTWORM PREVENTION: What brands have you used for your dogs, and where did you get it?*

Section 4

Children in your home?*

Ages and sex of children? If none, enter 'n/a'*

Have they been raised with a dog previously?*

Have they been taught to respect an animal as a living thing and not a toy?*

Rate your children's behavior with pets:*

Other people who will be living with the dog?*

Section Five

Do you live in a: (You may be asked to provide a letter from a landlord stating that this dog is allowed in the complex for condos, apartments and duplexes.) )*

Do you own this property?*

Do you presently have a completely fenced in yard?*

If no, how will the dog be managed outside?*

If by fence, what type and height?*

Approximate yard size:*

Where will the dog be kept during the day?*

Where will the dog be kept during the evening?*

Will your dog be allowed on the furniture/bed?*

Will he/she have the run of the house?*

Section Six

What will you do with your dog when you are on vacation?*

Are you an active individual?*

Have you ever sold, given away or put a pet into a shelter?*

If so, please explain circumstances:*

Does anyone in your home have allergies to pets?*

Will you use a crate?*

How will you provide the exercise this dog requires?*

Do you plan to train your pet yourself or take it to an obedience school? if using an obedience school. which one?*

Section Seven

Please list the name, address and phone number of any vets you've used, both current and previous:

Please contact your vet:

PLEASE CONTACT YOUR VET WITHIN 1 BUSINESS DAY OF SUBMITTING THIS APPLICATION TO GIVE PERMISSION FOR GOLDEN TREASURES TO HAVE ACCESS TO CURRENT AND PAST PET MEDICAL RECORDS. IF WE CONTACT YOUR VET AND THEY DO NOT HAVE YOUR PERMISSION TO RELEASE RECORDS, WE WILL REJECT YOUR APPLICATION.

Enter Name, full address of current vet:*

Current Vet's Phone Number*

Enter Name, Full address of previous vet:*

Previous Vet's Phone Number*

May these individuals be contacted regarding past or present pets and any dog you may obtain through us?*

Section Eight

The Golden Retriever is a wonderful dog; however, they are predisposed to several conditions: ear infections, hot spots, excessive shedding, and they generally need lots of exercise in order to be good house pets. Many require a good amount of attention and when not given the attention they wish, will resort to tearing up your favorite slippers, gardens, etc. in order to get that attention.

These dogs are excellent obedience candidates and can be easily trained to be wonderful companions, if you will work with them. Obedience is obtained by being fair, consistent and by offering praise when the deed is obtained. To train a dog, you have to think like a dog. Hitting, slapping, kicking etc. is considered as aggression by the animal and eventually the animal may retaliate. This dog will cost approximately $500+ annually in vet bills, and additional expenses may include grooming, collars, leashes, bowls and toys.

We want both of you to be thrilled with each other and would be glad to help in any way to insure this. We will be in periodic contact with you to insure that all is going well.

I have read and completed the above to the best of my knowledge.*

Who referred you to us?*