Dogs
Adopt
Foster
- Fostering
- Application to Foster
Volunteer
- Volunteer With Us
- Apply to Volunteer
Help Us
- Donate Supplies!
- Donate
Rehome Your Dog
- Surrender Your Dog
Newsletter
About

DONATE

Adoption Application

"*" indicates required fields

1Applicant

2Application

3Housing

4Indoor Environment/Routines

5Family Composition

6Adoption Preferences

This field is for validation purposes and should be left unchanged.

First Name*

Last Name*

eMail Address*

eMail Address Confirm eMail Address

Street Address*

Suite | Apt or Unit Number

City*

State/Province*

ZIP*

Home Phone Number

Cell Phone Number*

Work Phone Number

Preferred Method of Contact*

Have you adopted a dog from TGRR before?*

Work Schedule*

Applicant's Age*

Name of Co-Applicant

Co-Applicant Phone:

This field is hidden when viewing the form

Co-Applicant Phone Number: (old field and is hidden)*

Co-Applicant email address:

Co-Applicant's Work Schedule

Co-Applicant's Age

Is this your first dog?

If no, what dog breed(s) have you owned before?

In order to prevent a delay in processing your application, please contact your Veterinarian and authorize the release of information to Triad Golden Retriever Rescue. A TGRR volunteer will contact your Veterinarian asking if you have kept your pets up-to-date on vaccinations and provided heartworm and flea/tick prevention to your dogs.

Please provide the name, address and phone number for each veterinary practice your pet(s) have received care from in the last 5 years. With each veterinary practice listed, please include the pet's name(s) that has been seen at those practices. If either of the dogs listed are deceased, please indicate so.*

Are there any pet regulations or limitations (e.g. pets over 50 lbs)?*

Yes

No

What are those Regulations*

Housing

Do you live in:*

Do you own or rent your home? (choose one)*

Own

Rent

If you rent, are there pet regulations or limitations (e.g., pets over 50lbs)?

Yes

No

If you rent, you must submit a letter from your landlord giving you authorization to have a large (60 to 80 lbs) dog living in your home. Please email letter to: [email protected].

What Are Those Regulations?*

Outdoor Environment

Do you have a structural fence attached to your home?*

Yes

No

If yes, is it fully enclosed (e.g. fenced on all sides and attached to home)?

This field is hidden when viewing the form

How high is your fence at its highest point?

In inches, please enter the number only.

This field is hidden when viewing the form

How low is your fence at its lowest point?

This field is hidden when viewing the form

What type of fence do you have?

This field is hidden when viewing the form

What type of fence do you have?*

Select that all apply

What is your fence height (in feet) at its lowest point?*

What is your fence height (in feet) at its highest point?*

Concerning your fence, check all that apply

Some repairs are needed to make my fence secure

My fence goes across my driveway

My fence is totally secure

My fence is capable of restraining a 60-85 pound dog

Other

Concerning your fence, check all that apply:

This field is hidden when viewing the form

Concerning your fence, check all that apply:

Some repairs are needed to make my fence secure

My fence goes across my driveway

My fence is totally secure

My fence is capable of restraining a 60-85 pound dog

Other

If you selected "Other," please describe:

If you do not have a fence, are you willing to install one?

Do you live on a pond, lake, canal or retention pond?*

Do you have a pool?*

If yes, does it have a screened enclosure or safety fence?

If yes, is your/will your dog be allowed in the pool?

Do you have a pet door?*

If yes, where is it located and how is it used?

How will your dog access your yard?

Do you live on/near a busy road?*

Yes

No

Indoor Environment/Routines

On average, how many hours a day will dog be left alone?*

If more than 6 hours, will someone else be able to let the dog out during the day while you are gone?

Yes

No

This field is hidden when viewing the form

Where will dog be kept during the day when you are home?*

This field is hidden when viewing the form

Where will dog be kept during the day when you are not at home?*

This field is hidden when viewing the form

Where will the dog sleep?*

Where will dog stay during the day?*

Select that all apply

This field is hidden when viewing the form

Where will the dog sleep?*

Select that all apply

Who will care for dog when you travel?*

How will you exercise your dog and how often?*

Will dog be walked?*

How many times a day?

On leash or off?

Will your dog be allowed to run free off leash?*

If yes, in what situation(s)? Check all that apply

While playing in the unfenced area of the yard

In the neighborhood

During walks

At the beach

In local fields/woods

At the dog park

Other

Family Composition

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

Who will be primarily responsible for exercising dog?*

List the name, age and breed of any dog(s) that live with you.*

If you have other dog(s),, how would you describe their personality/ies (mellow, dominant, shy, fearfu, playful...)*

If you have cats currently living in the home, are they used to dogs?

Yes

No

Please list the names and ages of everyone (i.e., humans) who lives with you.*

Are they comfortable with large dogs (and/or dogs in general)?

Yes

No

Does anyone in your family have problems with pet allergies or dog hair?

Yes

No

Does anyone in your household, or anyone who frequently visits, use mobility or medical equipment—such as a cane, walker, wheelchair, or oxygen tank—that could be unfamiliar, startling, or frightening to a dog?*

Yes

No

Please explain. This information helps us find the best match for your household.*

Does anyone in your household, or anyone who frequently visits, have movements, behaviors, or vocalizations that could be unfamiliar, startling, or frightening to a dog?*

Yes

No

Please explain. This information helps us find the best match for your household.*

Regarding grooming, will you be*

Do you plan to shave your Golden during the summer?*

Have you shaved your Golden Retriever in the past?*

Have you researched the costs of owning a/another dog and do you feel financially ready to take on the responsibility?*

Do you plan to take an obedience class or hire a trainer for/with your adopted dog?

How will you discipline your dog?

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

If any of your previous dogs have passed away due to an accident or illness, please describe:

Have you ever fostered a dog before?

Yes

No

Are you interested in fostering for TGRR?

Do you have any experience in training dogs?

Yes

No

If so, please describe:

Do you have any experience with shy, fearful, or aggressive dogs?

Yes

No

If so, please describe:

Adoption Preferences

Please select all of the age ranges of dogs you would consider adopting*

Puppy, less than 1 year

1 - 3 years

3 - 6 years

6 - 9 years

9 - 10 years

11 years or older

Do you prefer*

Would you consider a golden retriever mix?*

Would you consider a dog that is not fully potty trained?*

Would you consider a special needs dog such as one that requires medication for a permanent but controlled condition?

If you have any special requirements or preferences (so we can more carefully match a dog to your lifestyle), please describe:

Are you planning any lifestyle changes (such as moving, getting divorced, getting another pet or extensive travel) in the near future? If yes, please explain:

Please list any other Golden Retriever Rescue groups you have applied to so we do not duplicate efforts (type in "None" if there are no others)*

Is there anything else you would like to share with us?

Type your Name*

By submitting this application, I affirm that the information I have provided is true and complete to the best of my knowledge. I understand that honest and complete information is essential to helping TGRR find the right match for both the dog and my family. Providing false information, omitting important information, or misrepresenting my circumstances may result in my application being denied or, if I have already adopted a dog from TGRR, the dog being returned to TGRR.*

I agree

Next Steps

The preferred method for receipt of your $42 non-refundable application fee is through this form. If paying your fee by check, please mail it to the address listed below and write Adoption Application Fee in the note section of your check.

TGRR
1361 Harpwell Drive.
Winston Salem, NC 27106

In order to avoid a delay in processing your application, please contact your Veterinarian and authorize the release of information to Triad Golden Retriever Rescue. A TGRR volunteer will contact your Veterinarian asking if you have kept pets up-to-date on vaccinations and provided heartworm and flea/tick prevention to your dog(s).

Once your Veterinarian reference is obtained, a TGRR volunteer will contact you for a Phone Interview, typically within two weeks.

A Home Visit will be scheduled for applicants in the Piedmont Triad Area. For applicants who live outside the Triad, supplementary materials will be requested in lieu of a Home Visit.

Once the screening process has been completed, you will be notified via email as to whether or not your application has been approved.

If you have additional questions, please check the Frequently Asked Questions section of the TGRR website, or use our Contact Us form.

Thank you for applying to TGRR, an all-volunteer, non-profit organization.

Δ

Sign Up for
Communications from TGRR

Sign up to receive the latest TGRR News!

Name

First Last

eMail Address

Address

Street Address Address Line 2 City State ZIP

Δ

Get In Touch

(336) 288-9944
Greensboro, NC

Let's Get Social

Contribute To Our Wishlist

Contact Us

Phone
This field is for validation purposes and should be left unchanged.
Name*
eMail*
Phone #*
Message*

Δ

Powered By: Buzz

Site Map

X

Adoption Application

Housing

Outdoor Environment

Indoor Environment/Routines

Family Composition

Adoption Preferences

Next Steps

Sign Up for Communications from TGRR

Get In Touch

Let's Get Social

Contribute To Our Wishlist

Contact Us

Sign Up for
Communications from TGRR