ONLINE APPLICATION:
















































































































































































































Your Name:
Address:
Applicant's employer name and location:
Please tell us what dog(s) you might be interested in.
Have you ever owned a dog before, and if so, do you still have this dog?
If not, what happened to the dog?
Have you ever surrendered a dog to a shelter?
Have you ever bred a dog?
Have you ever sold or given a dog away?
Have you ever had a dog run away or be poisoned?
Have you ever had a dog hit or killed by a car?
Have you ever had a dog die from disease?
Are you familiar with heartworm preventitive medication?
What other pets in the home?
If cats, do they have claws?
Have all household pets been spayed or neutered?
Do you own your own home?
If no, do you live in an apartment, condo, or townhouse?
If you rent, is your landlord in agreement with your intention to adopt a dog?
Where you reside, is there a yard?
If there is a yard, is it fenced.
Does the gate lock securely?
If you do not have a fenced area with gate, would you install one?
Where will this dog be exercised?
How many times a day will you walk the dog?
Do you envision this dog being allowed to run free?
Please describe how much time this dog will be outside.
Will this dog be tied up outside?
Do you intend to crate train this dog?
Do you have experience with crate training?
Are you willing and financially able to go to obedience classes or hire a trainer?
Have you used dog trainers in the past?
Do all adults in the home work full time?  What hours?
Please estimate the approximate time the dog would be left home alone daily.
Would this dog primarily be kept indoors or outdoors?
Where will the dog sleep at night?
Will your dog have the run of the house?
Will this dog be crated inside, if so - when?
If your dog has or develops behavioral issues, please tell us how you would address the issue(s)?
How often and for how long do your travel?
What have you done in the past, or plan to do, with your dog when you travel?
DOG PREFERENCES:.
Please explain what level suits you and your family's needs and why.
Please take into consideration some dogs grow substantially larger than others.  If this is a concern to you please let us know what size is best for your family.
Are you aware that a larger dog has the capacity to knock down a small child or an older/frail individual?
Are you willing to travel to pick up your dog?  If yes, how far would you go?
The finanical responsibility of caring for an animals such as a Golden Retriever or Labrador Retriever is estimated between $700 and $800 per year with considerations to vet fees for inoculations, general vet care, good quality food, licenses, grooming, etc.  Are you prepared for this financial undertaking?
Are you aware that the higher grade dog foods such as Eukanuba, Nutro, California Natural, etc will be more money to purchase but be a much healthier choice for your new family member?
Do you have plans to relocate in the near future?  If yes, what would you do with this dog?
In your best judgement, what would justify getting rid of a dog?
Do you fully understand and respect that our dogs are NEVER to be sold, given away or left at an animal shelter? 
Are you familiar with your community's leash laws, and the laws regarding rabies?
Have you ever given an animal as a gift?
Do you understand that we request a volunteer does a home visit to meet you and your family?
We also request your prior or current Veterinary Care's name, address and phone number, which is standard procedure with adopting from a rescur organization.
Do you realize that it will take time for your new dog to adjust to its new home, especially if you have other pets:  (usually 2-4 weeks, sometimes longer).  They may require extra attention and exercise during this period or fewer visitors to your home at first.  Are you willing to make adjustment to your daily routine during the adjustment period?
Please take this opportunity to tell us other details about yourself, your family, and your lifestyle to further help us make the very best match we can.  It is very important you share with us what special interests or hobbies you participate in and what it is you are looking for in a companion dog.  For example, some people enjoy camping or running with ther dogs....IT IS IMPORTANT TO US THAT THIS BE COMPLETED!!
Please list the names and ages of all persons residing in the home.
BY SIGNING BELOW:
I ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.  I UNDERSTAND THAT ANY MISREPRESENTATIONS OF FACT MAY RESULT IN THE REMOVAL OF THE ADOPTED DOG FROM MY HOME BY GOLDEN HUGGS RESCUE, INC.  I UNDERSTAND THAT IF I DECIDE THE DOG MUST LEAVE MY HOME - FOR ANY REASON - IT WILL BE RETURNED TO GOLDEN HUGGS RESCUE, INC.  I UNDERSTAND THAT THERE IS A PLACEMENT FEE OF $375 WHICH INCLUDES TRANSPORTAION TO NJ, NY, CT, OR NH.
Electronic Signature:
Electronic Signature:
From time to time, there are instances where Golden Huggs reaches out to our community for assistance with our dogs.  For example, we might ask a previous adopter if they would be willing to conduct a home visit to someone who lives close to them; we might ask if someone is willing to foster for a limited time; we might ask for assistance with a certain dog in great need, or to assist with a transport.  These events are not common and there is absolutely no expectation.  Please check YES if you are willing to be go onto our mailing list?
Email address:
Please list all phone contacts (home, cell, work, etc)
Sex:
Age:
Activity Level:
How did you learn about Golden Huggs Rescue?
YES
NO, THANK YOU