MIME-Version: 1.0 Content-Location: file:///C:/9F15DE0C/IGRR_application.html.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Iowa Golden Retriever Rescue, Inc

Iowa Golden Retriever Rescue, Inc.

108 Grand Ave= =

West Des Moines, IA  50265-3710

515-255-1884

Adoption Application

 

      = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;  Date: __________________

 

Name of Applicant: _______________________________________________________

 

Home Address: _____________________________________________________= ______

 

City: ___________= _________________ State: ____________= Zip: _________________

 

Home Phone: (_____)________________ Work Phone: (_____)____________= ___

 

Email Address: ___________________________

 

Best Time to Contact You: _________________________________________________

 

How did you learn about Iowa Golden Retriever Rescue?

 

___________________________________________________________________= _____

 

 

1.  Please list all the members of your household with their ages.

 

 

 

 

 

 

2.  Please list all th= e pets in your household, their breeds, ages, and sex (altered?)=

 

 

 

 

 

3.  If you do not have= small children in your home, will your rescue golden have any regular contact with children under 10 years of age?  If yes, please explain.

 

 

 

 

 

 

4.  Is your home aR= 30; House_____ Townhouse_____ Apartment_____ Duplex_____ Condominium_____<= /o:p>

 

5. Do you own or rent?  If renting, has your landlord provided written permission to have a dog over 50 pounds?

 

 

 

6.  Do you have a fenc= ed yard? ____ Type & height of fence: _____________________

 

7.  Where will the dog= be kept during the day? __________________________________

 

8.  Where will the dog= sleep at night? _________________________________________

 

9.  Is there anyone ho= me during the day? __________ Who? _______________________

 

10.  Who will care for= the dog while you are on vacation?

 

 

11.  How many hours th= e dog be alone (without humans) on a regular basis?

 

 

12.  Who will be the p= rimary caretaker of the dog?

 

 

 

13.  Will this be your= first dog? __________ Your first Golden? ____________

 

14.  Please list other breeds of dogs you have owned:

 

 

15.  Have you ever bre= d a dog? If yes, explain.

 

 

 

16.  Have you ever sol= d, given away, or surrendered a pet to a shelter? _______

      = ;      If yes, please explain.

 

 

 

17.  If you have ever = had a pet die because of illness, accident or euthanasia, please explain:

 

 

 

 

18.  Will the dog̷= 0;have run of the house ____ be in blocked-off portions of the house___=

      = ;      use a crate____ be tied outside_____ live in the yard ____

 

19.  Will the dog be a= llowed on the furniture or bed?

 

 

20.  Will the dog be…walked regularly_______ exercised in a fenced yard_______

      = ;      allowed to run free ______

 

21.  Are you aware that Goldens are active and shed all year long? __________________

 

22.  Does everyone in = the household want a Golden? _____________________________

 

23.  Will you groom th= e dog yourself or use a groomer?

 

24.  If you move, what= do you plan to do with the dog?

 

25.  Do you plan to ta= ke an obedience course with the dog? ________&nb= sp; Have you ever taken dog training classes? __________ What other activities may you be interested in doing with the dog? <= /p>

 

 

26.  Are you prepared = to provide yearly maintenance as well as provide for any other medical problems that may arise?

 

27.  Are you willing t= o take responsibility for this dog for the next ten years or more?

 

28.  Are you aware tha= t the yearly maintenance of a dog is approximately $300-400 NOT including food and grooming?

 

29.  Why do you want a golden retriever?

 

 

 

 

 

30.  Why do you think = you would be a good adopter for a rescue golden?

 

 

 

 

 

31.  Rescue Goldens typically range in age from 1 to 8 years.&= nbsp; What age range would you consider?

 

 

32.  All Goldens are spayed/neutered BEFORE adoption.  Do you have a preference for male____, female_____, no preference______.  If you have a preference, please explain.

 

 

33.  Describe the characteristics which you would like your dog to have.

 

 

 

 

 

34.  Describe the characteristics which you do not want your dog to have.

 

 

 

 

35.  Please feel free = to list any other information about yourself or family that you feel might be important to us.

 

 

 

 

 

APPLICANT REFERENCES:

If you currently own or have owned a pet during the past three years, one reference must be a veterinarian.  Other references may include neigh= bors, co-workers or Golden Retriever Club members.

 

 

__________________________________________= _____________________________________________________

(Name/Relationship/Phone Number)

 

 

__________________________________________= ______________________________________________________

(Name/Relationship/Phone Number)

 

Please submit completed application to:

 

Iowa Golden Retriever = Rescue, Inc

Attn: Applications

108 Grand Ave

West Des Moines, IA  50265= -3710

 

 

If you have questions,= please call (515) 255-1884

or e-mail  toomanypups@aol.com         =

 

Thank you for your time in completing this application.  You have started the road to adopt= ing a new member of your family.  On= ce your application is received and reviewed you will be contacted.  If you obtain a dog elsewhere, ple= ase notify us so we can remove your application from our files.  Completion of application does not guarantee adoption of a dog from IGRR.