Contact Information |
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Date
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Full Name *
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Spouse/Partner
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Street Address *
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City *
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State *
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Zip *
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Major Cross Streets
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Email *
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Best Number to Reach You *
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Alternative Number
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Are you Currently a Member of RAGofAZ *
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How did you hear about us
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Household Information |
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Are You Employed
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How many hours a day are you away from home
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Is your spouse/partner employed
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How many hours a day is she/he away from home
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Do you have childen or grandchildren that live with you?
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Ages of children
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Do you have children or grandchildren who visit frequently?
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Ages of children
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If you currently have other pets, please describe breed, age and gender
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Current Veterinarian:
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Have you rescued a dog before?
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Why do you want to foster/adopt a rescue dog?
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Is your yard fenced?
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Height of fence in feet
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Do you have a pool?
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If so, is it covered or fenced?
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Do you have a spa?
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If so, is it covered or fenced?
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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. |
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Do you have permission of your landlord to keep a dog?
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GOLDEN PREFERENCES
(PLEASE BE AS FLEXIBLE AS POSSIBLE
WITH YOUR PREFERENCES) |
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Have you owned a Golden before?
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What gender dog do you prefer to foster or adopt?
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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 |
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What is your age preference?
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Would you consider a mix?
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Would you consider a pair?
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Would you consider a special needs dog, such as a dog with epilepsy, diabetes,severe allergies or cancer?
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Would you consider a dog with health problems easily treated with medication, such as valley fever, hypothyroid, mild allergies, mild arthritis?
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Would you consider a senior dog (over 8 years old)?
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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)
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If no dog door, how many hours will the dog be kept inside the house with no access to the yard?
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If no dog door, how many hours will the dog be kept outside with no access to the house?
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On a scale of 1-10, 10 being extremely active. What type of activity level are you comfortable with in a dog?
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Primary reason for adopting a Golden(i.e. companionship, agility, obedience, other)
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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?
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YOUR EXPERIENCE WITH PETS |
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I consider myself:
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Are you familiar with the Golden Retriever breed?
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What other pets have you had, how long did you have them, and were they with you their entire lives?
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Will you be able to exercise the Golden? (Please be aware that younger dogs require more exercise)
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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?
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TRAINING YOUR GOLDEN |
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If adopting, will you agree to take the dog to obedience classes if recommended by Rescue A Golden?
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Are you agreeable to crate training if such is recommended?
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If NO, why not?
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Would you be able to housetrain if necessary?
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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 |