Application – Golden Treasures Rescue

Golden Treasures requests what may seem to be a lot of information, but our goal is to find the right fit for you and for our dog. We ask about your home, interest, and lifestyle and then work to have that coincide with our dog’s social, exercise and training needs. Our application process is designed to match the attributes and personality of our rescued Goldens to the home best-suited to each dog. If you are able to provide the special home that a rescued Golden deserves, we hope to be able to match you with the right dog.

Please note: this application has many fields, and will be easier to complete on a desktop.

You will receive a confirmation of successful submittal ON YOUR SCREEN after you SUBMIT the application. If you do not receive this confirmation and you would like to know if it was successfully submitted, please email us at dogs@goldentreasuresrescue.org.

If you prefer to fill out a paper application you can download and print the PDF application an either mail or email it to us.

Or mail to: Golden Treasures Rescue
PO Box 434, Bath, OH 44210

Applicants outside of Ohio: Golden Retrievers are placed within the Ohio area, and in some instances, in adjoining states, i.e., PA or MI. If applying from out of state, you must be willing to drive all the way to us (with your entire family and any dogs you currently have) to meet a new dog and all the way back with the dog, should the adoption not work out.

Upon receiving your application, the first step in the approval process involves contacting your vet(s) to gather information about your current and previous pets. To be considered for adoption you must have CONSISTENT vet care as well as PROOF of CONSISTENT heartworm prevention. (either seasonal or year-round per our adoption contract but we do recommend year-round). If you are unsure, please discuss with your vet BEFORE submitting an application.

EVERY FIELD in our application is REQUIRED so you must enter something in it (use “NA” if not applicable).

Application

About You and Your Family

Applicant's First Name

Applicant's Last Name

Applicant's Age

Applicant's Previous or Maiden Name

Co-Applicant's First Name

Co-Applicant's Last Name

Co-Applicant's Age

Relationship to primary applicant

Applicant's Street Address

City

State

Zip Code

County

Phone

Alternate Phone

Cell Phone

Employment Status

Occupation

Names/ages of all other humans in the household:

Do you have children living at home?

If no, will your adopted dog come in regular contact with children (e.g. grandchildren, etc?)

If yes, please indicate ages and anticipated contact frequency.

Number of Adults in household

Number of Children under 21 in household

How should we contact you?

What is the best time to contact you?

Do you have any trips planned in the near future? If so, when?

Home Type

Are you the owner? If not, do you have written permission from your landlord to have a large dog?

Do you own a second home or property? If so what is the address?

Do you have plans to move from your current home anytime soon?

Do you have a completely fenced-in backyard?

Fence Type and Height

Do you agree to keep your dog contained in a fenced yard or on a leash when not in a fenced area?

Do you have a pool, pond, creek, or any other water on your property?

Will the dog regularly be taken to any other family residences, e.g. weekend or vacation home?

Are there pets in the home now? If so, tell us a little about them, both DOGS & CATS

Are your pets spayed/neutered?

If not spayed/neutered, why not?

Are all pets current on vaccines and are your dogs on heartworm prevention? (This is a requirement to adopt)

What brand of prevention and where do you obtain it?

Do you have any dog doors in your home leading to the outside?

If yes, will the dog have access to these when you are not home?

Where will the dog be kept or have access to when no one is home?

Is anyone in your household allergic to dogs?

Is anyone in the household afraid of dogs?

Is anyone in the household a previous GT adopter? If so, specify name.

Does anyone in the house have a physical disability or serious health condition?

Caring For Your Dog

Who will be primarily responsible for the care of the adopted dog?

Is anyone regularly at home during the day?

Typically, how long will your dog be alone during the day?

Where will the dog be kept during the day?

Where will the dog sleep at night?

Where will the dog stay when you're on vacation?

Dog Ownership and Experience

Will this be your first dog?

Please list the names of other dogs you've had within the last 10 years, and the approximate time frame you've had them.

Will this be your first Golden Retriever or Labrador Retriever?

Have you ever sold, given away or surrendered a pet to another person or shelter?

Have you ever had a pet die because of age, illness, accident or euthanasia?

If yes, please describe the circumstances.

What type and brand of dog food do you currently use or have used in the past for your dogs?

Do you measure the food or free-feed?

Have any of your current or past dogs ever had weight issues?

If GT recommends using a higher quality food for your adopted dog, are you willing and able to make that change?

Do you plan to groom the dog yourself, or use a groomer or both?

If using a professional groomer, how often?

How will you exercise your dog?

How do you plan to train your dog to be a well-mannered member of the family?

Have you or a family member ever completed an obedience course with another dog?

Are you aware that routine costs of maintaining a dog average $800-$1,200 per year?

Breed Information and Preferences

Are you aware that Golden Retrievers are very active dogs (especially when young) and will require significant daily exercise and ongoing training?

Are you aware that Goldens shed year-round?

Are you aware that Goldens are large dogs and may jump and knock down young children or the elderly?

Do all members of the family want to adopt a GT dog?

Why do you want to adopt a rescued dog from GT?

What is your age preference?

Comments about age preference (if any)

What is your breed preference

What gender of dog do you prefer?

Would you consider adopting a bonded pair of dogs?

For applicants with no current dogs, would you consider a dog that does not get along well with other dogs? (We get many wonderful dogs that need to be "the only dog in the household.")

Would you consider adopting a special needs dog? (E.g. one with physical or sensory impairment or one that requires medication to control a chronic but controlled condition?)

When will you actually be ready for a dog?

Veterinary Contact Information

Please contact your vet(s) within 1 business day and give them permission to release information to us.

Current vet's name, address and phone

Which dogs did this vet treat? Time frame?

Previous vet's name, address and phone

Which dogs did prevous vet treat? Time frame?

How did you hear about Golden Treasures?

Terms and Condition

The information I have provided in this Adoption Application Form is accurate and complete.

I understand and accept that Golden Treasures' adoption and matchmaking process involves mutual decision-making between the adopter, the adoption team and the foster home and is based on determining which family or individual can best meet the needs of each dog in the program. Golden Treasures' adoption team will take my preferences regarding age, activity level, etc. into consideration, but the completion of this application does not in any way guarantee that Golden Treasures will adopt a dog to me.

If I adopt a dog from Golden Treasures, it will reside in my home as a pet. I will provide it with adequate shelter, food, water, training, affection and medical care, including monthly heartworm preventatives.

I understand that I must consent to an interview and a home visit before approval to adopt a Golden Treasures dog is granted. Reference checks may also be required.

I understand and agree that Golden Treasures may refuse my application for any reason, at its sole discretion. I also understand that Golden Treasures may not disclose the reason for not approving my application, in order to maintain the privacy of both myself and the Golden Treasures volunteers.

I understand that upon completing an adoption, I must sign a mutually acceptable Animal Adoption Contract, which shall be provided by Golden Treasures.

Digital Signature

By typing your name below, you acknowledge that your electronic signature constitutes a legally binding agreement, equivalent to a handwritten signature.

Digital Signature

Date

After Submitting your application, please call the Vet(s) listed on the application to give them permission to release info to Golden Treasures.

Captcha

Captcha determines if you are a human submitting this form - please check the box if it is not checked already

If you are human, leave this field blank.

After Submitting your application, please call the Vet(s) listed on the application to give them permission to release info to Golden Treasures.

WAYS TO REACH US

Golden Treasures Rescue

PO Box 434, Bath, OH 44210

EMAIL: dogs@goldentreasuresrescue.org

NOTICE

**** After Submitting your application, please call the Vet(s) listed on the application to give them permission to release info to Golden Treasures.

WAYS TO REACH US

Golden Treasures Rescue

PO Box 434, Bath, OH 44210

EMAIL: dogs@goldentreasuresrescue.org

NOTICE

After Submitting your application, please call the Vet(s) listed on the application to give them permission to release info to Golden Treasures.