Middle Tennessee Golden Retriever Rescue
  PO Box 681106
  Franklin, TN  37068-1106
  (615) 496-PAWS          Fax: 615-829-8913
  E-mail: MTGRR@rescueagolden.org
 
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ONLINE ADOPTION APPLICATION
 
MTGRR adopts to homes in Middle Tennessee and Certain Parts of Northern Alabama and Western Kentucky. A Map of our adoption area can be found on our website.
 
After you submit your application, if you don't get a reply from MTGRR within 3-5 days, please email us at mtgrr@rescueagolden.org. Please be patient with us, we are all volunteers :).

Please send your $20.00 non-refundable processing fee to MTGRR, PO Box 681106, Franklin, TN, 37068-1106, or via PayPal. You can find a link to PayPal on MTGRR's website under the "Donations" section (the tab to that page is directly to the left).

Thank you for taking the time to fill out the Adoption Application below. The purpose of this questionnaire is to learn a about your family and home so that our organization can make the best possible match for both you and our rescue animal. Our main concern is placing our animals in a compatible home with a family that will give them a LIFETIME commitment of love and proper care. This consultation process is designed to help us determine if the adoption is in the best interest of both the animal and the adopter. Please be aware that while completing this application does not bind you to adopt one of our animals, neither does it guarantee that we will place one of our animals in your home at this time. If you are interested in learning more about one of our rescue animals, please answer the questions honestly and thoroughly.

Some animals may need some extra time and patience to adjust to yet another new home. Some may need housetraining or other types of training, and some may just need a little extra love and patience. All animals, regardless of their background and history, go through an adjustment period when they go to a new environment. There will be a period of a few days, weeks or in some cases months during which your new pet’s personality is emerging and growing while you get to know one another. Please remember that this is a stressful time for an animal and hopefully we will be able to work together to make this a lifetime relationship for you and your rescue pet. You can call on us at any time to help you in any way. With this in mind, please answer the questions on the application to the best of your ability.

We reserve the right to refuse adoption to anyone for any reason. A representative of our group may conduct home visits prior to or following an adoption, and our group has the right to reclaim an animal following an adoption if unsuitable home conditions, evidence of neglect, abuse or other mistreatment of the animal are found on this visit.

 
MTGRR has a tiered adoption fee, required at the time of adoption:

Purebred Dogs up to 6 months old: $600
Purebred Dogs 6 months old up to 1 year old: $500
Golden Mix Dogs up to 1 year old: $400
Dogs 1 to 4 years: $375
Dogs 5 to 8 years: $325
Dogs 9 to 10 years: $250
Dogs 11 years and older: Donation of Adopters Choice

($50 is refundable with proof of obedience training for any dog of any age adopted from MTGRR).

Please review our Terms and Conditions of Adoption, Adoption Process, and Adoption Frequently Asked Questions before completing the adoption application form below.

After completing the application form (either online or if you mail it), please send a $20.00 non-refundable processing fee to the address below. Your application will be processed upon receipt of your check.

MTGRR
PO Box 681106
Franklin, TN 37068-1106
 
IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST:

* Be 18 years of age or older.
* Have identification showing your present address.
* Have the knowledge and consent of your landlord.
* Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for the dog for its entire life.
 
About You and Your Household
 
Applicant Name:
   
 
Co-Applicant Name:
   
 
Street Address:
   
 
City:
   
 
State:
   
 
ZIP Code:
   
 
Daytime phone number:
   
 
Evening phone number:
   
 
E-mail:
   
 
Applicant’s occupation?
   
 
Applicant’s work schedule?
   
 
Co-Applicant’s occupation?
   
 
Co-Applicant’s work schedule?
   
 
When is the best time for us to conduct a home visit?
   
 
Please list the names and ages of all persons who live in your household (or who visit regularly).
   
 
If you plan to have children, how will you handle the added demands of young children and your Golden Retriever?
   
 
Does anyone in your home have pet allergies? If yes, please explain:
   
 
Who will be the primary care giver and trainer of the Golden?
   
 
Is the whole family in agreement with adopting a rescue Golden? If not, who isn't and what are their reasons?
   
 
How long have you lived at your current address?
   
 
Do you own or rent?
   
 
If you rent, what is your landlord's name and telephone number?
   
 
If you rent, do you have have your landlord's permission to have large dog?
   
 
What type of home do you live in (house, apartment, duplex, condo, townhome)?
   
 
If you have a backyard, what is the approximate size that the Golden will have access to?
   
 
Do you have a fence?
   
 
If yes, what type of fence?
   
 
What is the height of the fence?
   
 
Is there a gate on the fence? If so, is it kept locked?
   
 
If you do not have a fence, do you plan to install one?
   
 
If you do not have a fence and do not plan on installing one, how will you handle outdoor time with your Golden?
   
 
Do you have a doggie door?
   
 
Do you have a pool?
   
 
Do you have water access (lake-house, beach house, boat, etc)? If yes, explain:
   
 
Your Experience with Dogs
 
Is this your first dog?
   
 
Have you ever adopted a shelter or rescue dog? If yes, how was the experience?
   
 
Is this your first Golden?
   
 
Please list all breeds you have owned as an adult:
   
 
If you currently have other pets, please list all names, age, breed, gender and if spayed/neutered:
   
 
Do your current animals live indoors, outdoors or both? Please explain:
   
 
Are your current pets wearing identification and rabies tags on their collar?
   
 
Are your current pets microchipped? If yes, is the microchip currently registered to you with the current contact information?
   
 
Are your pets on a monthly heartworm prevention? If yes, what brand and where did you purchase?
   
 
Are your pets on monthly flea/tick prevention? If yes, what brand and where did you purchase?
   
 
Have you eve lost a pet? If yes, please explain:
   
 
Have you ever had a pet stolen? If yes, please explain:
   
 
Have you ever given away or sold a pet? If yes, please explain:
   
 
Have you ever turned a pet into a shelter? If yes, please explain:
   
 
Have you ever had a pet die at an early age (before 8) or due to an accident? If yes, please explain:
   
 
Have you or anyone in your family or living in your household ever had an animal control violation or been convicted of an animal related crime? If yes, please explain:
   
 
Please identify all veterinarians used for the past three years (please include name of doctor, name of practice, address and phone number):
   
 
Do you give MTGRR your consent to contact your vet to discuss your pets and medical history? (Please note: MTGRR conducts a vet check on all potential adopters). If no, please explain:
   
 
Have you ever applied to any other rescue group for a dog? If so, please list the group name and date of application (this will enable us to coordinate placement efforts):
   
 
About the Adoptive Dog
 
Why have you chosen to adopt a Golden Retriever?
   
 
What characteristics are you looking for in a Golden Retriever?
   
 
Are you excited and ready to proceed with adopting now or in no hurry?
   
 
Would you consider adopting a bonded pair of Goldens who already know and love one another?
   
 
What age Golden are you interested in adopting (puppy up to 6 months; 6 months-1 year; 1-4 years; 8 and over)?
   
 
What activity level are you looking for in a dog (athletic/high energy; medium; low)?
   
 
How many hours will the dog spend alone without humans each day?
   
 
Where will your Golden be kept during the day?
   
 
Where will your Golden be kept at night?
   
 
How will you exercise your Golden?
   
 
How long and how often will you exercise your Golden?
   
 
Will your Golden be outside unsupervised? If yes, for what reason and for how long?
   
 
Are there ever times when the Golden will be tied outside? If yes, for what reason and for how long?
   
 
What brand of dog food do you plan to feed your Golden?
   
 
What arrangements will be made for your Golden when you travel?
   
 
Rescued Golden Retrievers have sometimes been in neglectful and/or abusive situations and therefore may experience difficulty making the transition to a new home. Are you willing to be patient while your dog adjusts to its new home?
   
 
How long do you feel an adopted dog should be given for an adjustment period in his or her new home?
   
 
What behaviors would be unacceptable to you?
   
 
What actions would you take to correct these behaviors?
   
 
What will you do if your new dog chews your belongings or shows other destructive behavior?
   
 
If the Golden has or develops behavioral issues that you cannot address, are you willing to contact MTGRR for free assistance before you return the Golden?
   
 
Have you ever used a crate? If yes, under what circumstances and for how long each day? If no, are you willing to use a crate if it benefits the Golden?
   
 
Have your current or past pets taken obedience training classes? If yes, where and what type of training?
   
 
Are you willing to take your Golden to obedience training classes?
   
 
Are you willing to consult an expert for advice on behavior problems if needed?
   
 
Are you willing to spend the time and money necessary to provide training, medical treatment, and proper care for your Golden for its entire life?
   
 
Are you aware that many Goldens are thunder and storm phobic?
   
 
How would you handle these phobias and are you willing to work with a trainer/behaviorist in order to handle this issue if needed?
   
 
Are you aware that Goldens are active and that they shed all year long?
   
 
How will you groom your Golden?
   
 
Are you aware that routine costs of maintaining a dog average approximately $800-$1000 per year?
   
 
Is there a specific dog you are interested in adopting from MTGRR? If so, which dog and why are you interested in this specific dog?
   
 
If you are interested in a specific MTGRR dog, we cannot guarantee that he/she will be available at the time your application process is complete. If that is the case, are you interested in proceeding as we have other Goldens and Golden mixes coming into our program on a regular basis?
   
 
Would you consider a Special Needs Golden, such as one who requires medication for a permanent but controlled condition?
   
 
If you move, what will you do with your Golden?
   
 
The most common reasons for owners surrendering a dog include moving, allergies, divorce, new baby/young children and not enough time for a dog. What behaviors might cause you to surrender/return your Golden to MTGRR?
   
 
If you wish, please tell us about yourself and your family; including any special activities in which your MTGRR dog would be included:
   
 
If you have any special requirements for a dog, please let us know so we can more carefully match a dog to your lifestyle.
   
 
How did you hear about MTGRR?
   
 
Adoption Fee: MTGRR requires an adoption fee at the time of adoption:

Purebred Dogs up to 6 months old: $600
Purebred Dogs 6 months old up to 1 year old: $500
Golden Mix Dogs up to 1 year old: $400
Dogs 1 to 4 years: $375
Dogs 5 to 8 years: $325
Dogs 9 to 10 years: $250
Dogs 11 years and older: Donation of Adopters Choice

($50 is refundable with proof of obedience training for any dog of any age adopted from MTGRR).
 
In submitting this application, I hereby certify that all the information provided on this application is true, complete and accurate to the best of my/our knowledge. I/we attest that we have read the Terms and Conditions of Adoption and also understand that completion and submission of this application does not guarantee adoption of a Golden Retriever. Middle Tennessee Golden Retriever Rescue reserves the right to refuse any adoption.
 

Thank you for submitting your application. If you don't get a reply from MTGRR within 3-5 days, or if you think your form was not sent successfully, please email us at mtgrr@rescueagolden.org.

We are an all volunteer organization, so we apologize in advance if we are slow to reply. Please send your $20.00 non-refundable processing fee to MTGRR, PO Box 681106, Franklin, TN, 37068-1106. You can also pay your processing fee via PayPal, by going the Donations page on MTGRR's website.

 
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