Adoption Application

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Adopt
- Adoption Application
Surrender
- Surrender Application
Foster
- Foster Application
Donate
About
Contact
G.R.E.A.T Store

Am I qualified to adopt a Golden Retriever?

Some initial disqualifiers include:

● No children in the home under the age of 5.
● Must be located in following counties: Alachua, Baker, Bradford, Clay, Columbia, Duval, Flagler, Marion, Nassau, Putnam, St Johns, Suwannee, Union, or Volusia.

What are the terms of adopting?

The adoption fee must be paid on the day the adoption takes place. There will be no
extended credit or late payments accepted.
The decision to place a Golden is at the sole discretion of the G.R.E.A.T. Rescue and its
Board of Directors. The main focus is the best interest of the Golden Retriever. We
reserve the right to refuse any application
Applications will remain active for 6 months, unless otherwise notified by the applicant, if
no suitable match has been found.
G.R.E.A.T. Rescue of NE FL, Inc., its associates, and those who work on its behalf act
in good faith and assume no responsibility, liability, or costs for Golden Retrievers once
they have been adopted. Adopters acknowledge and agree to release and hold
harmless G.R.E.A.T. for any and all claims, liabilities, damages, fees and costs for bodily
harm, personal injury, and/or property damage with respect to ownership of the Golden
Retriever once it has been adopted.

Adoption Application - GREAT Rescue - Step 1 of 6

PLEASE READ ALL ADOPTION REQUIREMENTS LISTED ABOVE PRIOR TO SUBMITTING YOUR APPLICATION.

We will be unable to approve your application unless these requirements can be met.

Personal Information

Please be sure to fill out all required information below to avoid processing delays. Form will not submit without an entry in a required (*) field.

Have you ever adopted through G.R.E.A.T. Rescue? *

Name of Applicant *

First

Last

Name of Co-Applicant

First

Last

County of Residence *

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 Address *

Address Line 1

Address Line 2

City

State

Zip Code

Contact Information

Layout

Primary Phone Number *

Please provide your primary phone number in case we need to contact you regarding your application.

This is a: *

Mobile Phone
Home Phone
Work Phone

Layout (copy)

Alternate Phone Number

This is a:

Mobile Phone
Home Phone
Work Phone

Layout (copy) (copy)

Second Alternate Phone Number

This is a:

Mobile Phone
Home Phone
Work Phone

Email Address *

Confirm Email

Alternate Email Address

Confirm Email

About Your Family

Employment

Do you work? *

What days and hours do you work? *

What is your place of employment? If self-employed, please describe. *

Who will care for the Golden while you are at work, or in your absence? *

Does the co-applicant work?

What days and hours does the co-applicant work?

What is the co-applicant's place of employment? If self-employed, please describe.

Children

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.

Any children in household? *

What are their ages?

Do other children (grandchildren, nieces/nephews, neighbors) visit your home? *

What are their ages?

Your Pets

Please list the breeds of dogs you have owned as an adult. *

Please list ALL names, ages, breeds & species of pets you currently own. *

Veterinary History

GREAT Rescue obtains Veterinary references prior to approval of all applications.

Some questions we ask: Are past and current dogs owned by the applicant up-to-date on all vaccinations? Did/does applicant purchase heartworm preventatives? Were/are dogs spayed or neutered?

Please notify your vet hospital that a representative from GREAT Rescue will be contacting them for a vet reference and that you give them permission to give that representative the information requested. Failure to do so will delay processing of your application.

Provide a vet's name who will be able to provide a consistent, responsible record of your pet care. *

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? *

Provide the name and phone number of the new vet. *

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 adoption@greatrescue.org; include your name and your pet's name. *

If heart worm preventative was not purchased from your vet, please upload receipt here.

Click or drag a file to this area to upload.

Home Environment

You will be required to submit at least 1 photo of your fenced yard and at least 2 photos of the interior of your home, showing where your pet will spend most of his/her time. Upload in the space provided after you have submitted your application, or you may email them to: adoption@greatrescue.org; include your name and date of application submission.

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? *

Who will walk the Golden daily? *

Who will groom the Golden? *

Do you plan to take obedience classes? *

Where do you plan to take the dog to obedience class?

If you move, what will you do with this Golden Retriever? *

Are you willing to take responsibility of this pet for 10 or more years? *

Do you have a doggie door? *

Do you have a fence? *

Please describe fence (i.e. height, type, area of yard covered). *

Please upload a photo of your fence *

Click or drag a file to this area to upload.

Do you have a pool? Do you have stairs? Please describe structure of the stairs. (How many?, carpeted? How many landings? etc.

Please upload a photo of your pool and/or stairs

Click or drag files to this area to upload. You can upload up to 21 files.

Please upload a photo of your backyard *

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload a photo of the interior of your home *

Click or drag files to this area to upload. You can upload up to 4 files.

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. *

Which dog are you interested in adopting? *

See https://www.petfinder.com/pet-search?action=1&shelter_id=FL358&preview=1.

What age/sex Golden are you seeking? (Please check all that apply.) *

Puppy - Male
Puppy - Female
Young Adult - Male
Young Adult - Female
Adult - Male
Adult - Female
Senior - Male
Senior - Female
Any

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.) *

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 be interested in joining our Transport Team? (pick up and deliver surrendered dogs from shelters, current owners, etc. to our vet partners.) *

Yes
No
Maybe

In what capacity would you volunteer? Please check all that apply.

Assist with Mailings
Data Entry
Donation Pickup
Event Help
Event Transport
Flyering
Foster (please complete a Foster Application)
Fundraising
Golden Transport
Grant Research and/or Writing
Graphic Design
Hospice Foster (please complete a Foster Application)
Photographer
Silent Auction
Solicit Donations for Dogs in Foster Care (leashes, collars, etc.)
Web Maintenance

For more information and/or to fill out a Volunteer application, please go to http://greatrescue.org/volunteer/

How did you hear about GREAT?

Terms of Adoption and Terms of Adoption Application

Applications will remain active for 6 months, unless otherwise notified by the applicant, if no suitable match has been found. Prior adopting families, fosters, vet referrals and approved applicants on file have first consideration in the order of submission for adoption of a suitable Golden Retriever/Golden mix. Once a dog has been “interviewed” by a family, the family must make a decision, sign the paperwork and pay the adoption fee within 24 hours to be guaranteed the right to adopt the specific dog visited. All new owners will be expected to pay an adoption fee for the preferred Golden Retriever on the day the adoption takes place. There will be no extended credit or late payments accepted. Adoption fees help defray expenses in rescuing this and other Golden Retrievers brought into G.R.E.A.T. Rescue. All G.R.E.A.T. participants are volunteers and are not responsible or liable in any manner, at present or into the future, for any problems or mishaps that may occur following the adoption of a G.R.E.A.T. Golden Retriever. The decision to place a Golden is at the sole discretion of G.R.E.A.T. Rescue and its Board of Directors and that which is deemed to be in the best interest of the Golden Retriever. We reserve the right to refuse any application.

Adoption Agreement *

I Acknowledge and Agree (primary applicant)
I Acknowledge and Agree (co-applicant)

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 Application above, and agree to all terms.

Date / Time of Submission *

Date

Time

Submission Notes

A confirmation page will appear upon successful submission. If, after clicking "submit," one or more errors are found, the page will scroll up to the first error and the error message "This field is required" will appear. Please correct any errors and submit again.

IF YOU STILL HAVE PROBLEMS, PLEASE SEND AN EMAIL TO info@greatrescue.org TO REQUEST AN ELECTRONIC VERSION OF THE FORM.

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