Online Adoption Application

All potential new homes are required to fill out an adoption application. We require personal references, to include a veterinarian if there are currently any animals in the household. Once the application is received and reviewed, we will be in contact with the applicant about any possible matches we may have and to schedule a home visit.

We strive to make all placements permanent, so although our process may seem tedious, we are keeping the best interest of the dog in mind at all times.

Our adoption fee is $250, plus $17.99 to Home Again to cover the microchip registration fee. All seniors golden (those eight and older) will be $125.

Printable Version

Contact Information

Home Phone Number:

Work Phone Number:

Email Address:

Name of Applicant:

Home Address:

City, State and zip

Best Time To Contact You:

Household Information

Please list all the members of your household with their ages:

If you do not have small children in your home, will your new golden have contact with children under 10 years of age?
No
Yes (Please explain)

How did you learn about Iowa Golden Retriever Rescue?

Please list all the pets in your household, their breeds, ages, and sex (altered?)

Do you have a fenced yard?
Yes
No

Type and height of fence

Is there anyone home during the day? If so, who?

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

Where will the dog be kept during the day?

Where will the dog sleep at night?

Who will be the Primary caretaker?

Do you live in a:
House
Townhouse
Apartment
Duplex
Condominium

Own or Rent?
Own
Rent

If renting, has your landlord provided written permission to have a dog over 45 pounds?
Yes
No

How many hours will the dog be alone (without humans) on a regular basis?
Less than 2
2-4
4-8
8-10
More than 10

Previous Pet Ownership

Will this be your first Golden Retriever?
No
Yes

Will this be your first dog?
No
Yes

Ever had a pet die because of illness, accident or euthanasia?

Please list other breeds of dogs you have owned:

Have you sold, given away, or surrendered a pet to a shelter?
No
Yes (please explain)

Have you ever bred a dog?
No
Yes, (please explain)

Activities For Rescue

Will the dog be: (check all that apply)
walked regularly
exercised in a fenced yard
Allowed to run free

Will the dog: (check all that apply)
have run of the house
be in blocked-off portion of the house
use a crate
be tied outside
live in the yard

Do you plan to take an obedience course with the dog?
Yes
No

Have you ever taken dog training classes?
Yes
No

Are you willing to take responsibility for this rescue dog for the next ten years or more?
Yes
No

Will the dog be allowed on the furniture or bed?
Yes
No

Does everyone in the household want a Golden?
Yes
No

Are you aware that Golden Retrievers are active and shed all year long?
Yes
No

Are you aware that yearly maintenance of a dog is approximately $300-$400, NOT INCLUDING FOOD AND GROOMING?
Yes
No

Are you prepared to provide yearly maintenance as well as provide for any other medical problems that may arise?
Yes
No

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

Will you groom the dog yourself or use a groomer?

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

What activities may you be interested in doing with the dog?

Why do you think you would be a good adopter for a rescued golden retriever?

Why do you want a golden retriever?

Dog Preferences

Rescue Goldens typically range in age from 1 to 8 years. What age range would you consider?

All Goldens are spayed/neutered BEFORE adoption. Do you have a preference for:
No Preference
Male (please explain)
Female (please explain)

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

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

Applicant References

Phone numbers for references required. Also if you currently own or have owned a pet during the past three years, one reference must be a veterinarian. Other references may include neighbors, co-workers or Golden Retriever Club members.

Reference #2

Reference #1

Submit Application

Thank you for your time in completing this application. You have started the road to adopting a new member of your family. Once your application is received and reviewed, you will be contacted. If you obtain a dog elsewhere, please notify us so we can remove your application from our files. Completion of application does not guarantee adoption of a dog from IGRR. If you have questions, please call (515) 255-1884 or e-mail toomanypups@aol.com.