Adoption Application

I attest all information I provide below is true. I promise to care for a Golden Retriever to the best of my ability, with the full intent of keeping the dog for the duration of its life. I also agree to keep a quick release collar with tags on the dog, provide quality dog food, adequate shelter, veterinary care and training as needed. GRRR requests a donation of $225 (Seniors age 8 and over are $125 and puppies are $300) at the time of adoption to help cover GRRR's expenses.

* Required fields
Name *
E-mail Address *
Co-applicant's name
City *
Street address *
State *
Zip code *
Home phone *
Work phone
Mobile phone or alternative phone to reach you
Age of applicant(s)
Do you rent or own your home	Own Rent
What is the youngest dog you will consider? *
What is the oldest dog you will consider? *
Please indicate your preference for the dog's gender. *
Do you require an AKC registered dog? *
Would you accept a mixed breed? *
What activities would the dog be participating in, e.g., jogging, hiking, hunting, agility, service dog, obedience competition, etc.?
What type of fence do you have? *
Height of fence (choose size closest to actual fence height) *
If you do not have a fence, please describe your plans on controlling your dog outside without a fence.
Where will the dog spend its time during owner's working hours? *
Where will the dog sleep at night? *
On average, how many hours per day will the dog be left alone? *
Will the dog be crate trained? *
Will the dog be taken to obedience class? *
What are the ages of your children? *
What other pets do you own? *
Are your other pets spayed or neutered?	Yes No
Under what circumstances would you give up any of your pets?
Names of dogs on website that are of interest
Have you ever owned or lived with a dog before? *
Have you ever owned a Golden Retriever or Golden Retriever Mix before?	Yes No
How did you hear about Golden Retriever Rescue of the Rockies? *
Please list three references with phone numbers *
Additional information you would like for us to know.
Would you consider a dog with special needs or a medical condition that is controlled with medication

I have read and agree to the Privacy Policy *

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Golden Retriever Rescue of the Rockies :: 501(c)(3) :: 601 16th St. #C342 :: Golden, CO 80401-1937 :: (303) 279-2400