County of Residence * Alachua Baker Bradford Clay Columbia Duval Flagler Marion Nassau Putnam St. Johns Suwannee Union Volusia
WE ARE CURRENTLY ONLY ACCEPTING APPLICATIONS FROM APPLICANTS WHO LIVE IN OUR SERVICE AREA (Alachua, Baker, Bradford, Clay, Columbia, Duval, Flagler, Gilchrist, Hamilton, Lafayette, Madison, Marion, Nassau, Putnam, St Johns, Suwannee, Union and Volusia counties in Florida).
Home Phone Work Phone Cell Phone Does the co-applicant work? Any children in household? *
WE DO NOT DO ADOPTIONS TO FAMILIES WITH CHILDREN UNDER THE AGE OF 5. THIS IS FOR THE PROTECTION OF THE CHILD AND THE DOG.
Do other children (grandchildren, nieces/nephews, neighbors) visit your home? * Please list the breeds of dogs you have owned as an adult. * Please list ALL names, ages, breeds & species of pets you currently own. * Phone # of Veterinary * Please list the names/species of your pet(s) both past and present that go to or went to this vet AND the owner's name under which the pet is listed. * Will you use this Vet for your GREAT Golden? * Where do/did you purchase heart worm preventative for your pet? If not from your vet, please provide a copy of your latest receipt for heart worm preventative purchased by uploading here. You may also send a copy of the receipt to email@example.com; include your name and your pet's name. * If heart worm preventative was not purchased from your vet, please upload receipt here. Where will the Golden be kept during the day? * Where will the Golden be kept at night? * Where will the Golden be kept when no one is at home? * Who will provide the most care and exercise for the dog? * Self Spouse Children Who will walk the Golden? * Self Spouse Children Who will groom the Golden? * Self Spouse Children Do you plan to take obedience classes? * Are you willing to take responsibility of this pet for 10 or more years? * If you move, what will you do with this Golden Retriever? * Do you have a doggie door? * Tell us about yourself, your family (include children's ages, if any), your hobbies, activities, travel and weekly routine, and how the Golden will fit into your current lifestyle/schedule. * What age/sex Golden are you seeking? (Please check all that apply.) * Please be aware that there is typically a long waiting list for puppies and young adult dogs. If you selected a puppy and/or young adult as your choices above, please indicate what other ages you would consider, if any. Would you consider a Golden mix? (Please be aware that there is typically a long waiting list for purebreds.) * If you are 70 or older, are you interested in our "Senior-to-Senior" Program? List qualities you are seeking in your G.R.E.A.T. Golden. * Would you be willing to foster a dog until a permanent home is found for it? *
Please know that if foster families continue to foster a dog until it is available for adoption, they will be given first consideration to adopt that dog at the adoption fee designated by the rescue if they have followed vet protocol with our vet and are deemed a good fit by the rescue. So please consider fostering or fostering-to-adopt.
Would you be willing to Foster to Adopt (FTA) while GREAT continues to fund the needed Veterinary services until the dog is ready for adoption? * Would you like to become a G.R.E.A.T. volunteer? * Comments How did you hear about GREAT? Adoption Agreement *
By checking this box, I acknowledge that the information presented herein is true and accurate. Further, I acknowledge that I have read the Terms of Adoption and Terms of Adoption Application, and agree to all terms.
Date / Time of Submission * Submission Notes
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