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Foster/FWITA application form

Complete the form below the best you can.

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* Required information.

Contact Information

Date
Full Name *
Spouse/Partner
Street Address *
City *
State *
Zip *
Major Cross Streets
Email *
Best Number to Reach You *
Alternative Number
Are you Currently a Member of RAGofAZ *
Yes
No
How did you hear about us

 

Household Information

Are You Employed
Yes
No
How many hours a day are you away from home
Is your spouse/partner employed
Yes
No
How many hours a day is she/he away from home
Do you have childen or grandchildren that live with you?
Yes
No
Ages of children
Do you have children or grandchildren who visit frequently?
Yes
No
Ages of children
If you currently have other pets, please describe breed, age and gender
Current Veterinarian:
Have you rescued a dog before?
Yes
No
Why do you want to foster/adopt a rescue dog?
Is your yard fenced?
Yes
No
Height of fence in feet
Do you have a pool?
Yes
No
If so, is it covered or fenced?
Yes
No
Do you have a spa?
Yes
No
If so, is it covered or fenced?
Yes
No

FOR RENTERS ONLY Note: Some apartment complexes have weight restrictions.

Golden's can weigh from 40-100 plus pounds.

If YES, you must provide a copy of written permission at time of home visit.

Do you have permission of your landlord to keep a dog?
Yes
No

GOLDEN PREFERENCES

(PLEASE BE AS FLEXIBLE AS POSSIBLE

WITH YOUR PREFERENCES)

Have you owned a Golden before?
Yes
No
What gender dog do you prefer to foster or adopt?
Male
Female

Please note, it is the policy of RAGofAZ not to place a dog under 3 years of age with a
family that has children under 3 years of age

What is your age preference?
Puppy 0-1
Young 2-4
Junior 5-8
Senoir 8+
Would you consider a mix?
Yes
No
Maybe
Would you consider a pair?
Yes
No
Maybe
Would you consider a special needs dog, such as a dog with epilepsy, diabetes,severe allergies or cancer?
Yes
No
Maybe
Would you consider a dog with health problems easily treated with medication, such as valley fever, hypothyroid, mild allergies, mild arthritis?
Yes
No
Maybe
Would you consider a senior dog (over 8 years old)?
Yes
No
Maybe
Do you have a dog door? (This is not a prerequisite, but helpful if you are away from home more than 8 hours per day)
Yes
No
To Install
If no dog door, how many hours will the dog be kept inside the house with no access to the yard?
If no dog door, how many hours will the dog be kept outside with no access to the house?
On a scale of 1-10, 10 being extremely active. What type of activity level are you comfortable with in a dog?
1
2
3
4
5
6
7
8
9
10
Primary reason for adopting a Golden(i.e. companionship, agility, obedience, other)
Part of agreeing to become a foster-with-intent-to-adopt or to adopt a Golden from RAGofAZ includes participating in a brief telephone interview and accepting an in-home visit. When would be a good time for us to come for a home visit?

YOUR EXPERIENCE WITH PETS

I consider myself:
an experienced Golden Retriever person (current or previous GR owner)
an experienced dog owner (please list current or previous breed experience)
somewhat experienced with dogs
novice dog owner
Are you familiar with the Golden Retriever breed?
Yes
No
Somewhat
What other pets have you had, how long did you have them, and were they with you their entire lives?
Will you be able to exercise the Golden? (Please be aware that younger dogs require more exercise)
Yes
No
Somewhat
Are you aware that a Golden Retriever is considered a large breed and has higher maintenance costs (food, vet, equipment, grooming bills) than a smaller breed of dog? Do you believe you can afford the cost of caring for a Golden?
Yes
No
Maybe

TRAINING YOUR GOLDEN

If adopting, will you agree to take the dog to obedience classes if recommended by Rescue A Golden?
Yes
No
Are you agreeable to crate training if such is recommended?
Yes
No
If NO, why not?
Would you be able to housetrain if necessary?
Yes
No

 

GENERAL AGREEMENT

I/we am/are at least 21 years of age. All of the information I/we have given is true and complete. I/we understand that Rescue
A Golden of Arizona has the right to refuse my/our application.


I/we understand that Rescue A Golden of Arizona remains co-owner for the life of any Rescued Golden that comes through
the RAGofAZ program and that RAGofAZ has the right to reclaim any foster or adopted Golden if the Board of Directors
feels that doing so is in the dog’s best interest.


I/we understand that I/we must pay the adoption fee by check or credit card at the time the rescued dog is delivered to
my/our home. If, after a 21-day settling-in period, I/we choose not to adopt this dog, I/we understand that the
adoption fee will either be refunded or will be applied towards the adoption of another RAGofAZ rescue.

I have read the above statement and agree to the terms and conditions