Middle Tennessee Golden Retriever Rescue
  PO Box 681106
  Franklin, TN  37068-1106
  (615) 496-PAWS          Fax: 615-829-8913
  E-mail: MTGRR@rescueagolden.org
Adoptable Animals:
 All Adoptables (14)
 About MTGRR
 Adoptable Dogs
 Adoption Application
 Pay Application Fee
 Foster a Golden
 Donate to MTGRR
 Shop and Donate
 Friends of MTGRR
 Rainbow Bridge
 Success Stories
 Surrender a Golden
 Volunteers Needed
 Contact Us
 Lost/Found Dogs
 Calendar of Events
 How To Adopt
 Terms and Conditions of Adoption
 Adoption FAQ
 Fence Policy
 Children under 5 - Adoption Policy
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 Applicants must be within our adoption area, see Service Area Map located on the left menu
 All questions on the application must be completed
 A $20 Adoption Application processing fee must be submitted, use the "Donate to MTGRR" menu on left

Before completing your Adoption Application, be sure to read the following material, all of which is linked on the left menu, near the bottom:
 How to Adopt
 Terms and Conditions of Adoption
 Adoption FAQ (Frequently Asked Questions)
 Fence Policy
 Children Under 5 - Adoption Policy

1. An Adoption Coordinator will review your application and contact you
2. A vet check will be done if applicable
3. A phone interview will be scheduled and conducted
4. A home visit will be scheduled and conducted

Please remember that MTGRR is completely volunteer run and it may take a few days to hear from your Adoption Coordinator. If you have not heard from us in 3-5 days after submitting your application, please contact us at mtgrr@rescueagolden.org.

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.

Have you submitted your $20 application fee? If not, please do so in order that we may proceed with processing your application.
In order to process your application, the entire application must be completed. If not, we cannot proceed with processing. Are you ready to proceed?
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?
About You and Your Household
Applicant Name:
Co-Applicant Name:
Street Address:
ZIP Code:
Daytime phone number:
Evening phone number:
Applicant’s occupation?
Applicant’s work schedule?
Co-Applicant’s occupation?
Co-Applicant’s work schedule?
Please list the names and ages of all persons who live in your household (or who visit regularly). Please read our Children Under 5 Adoption Policy.
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?
All members of the family must be present for a home visit. When is the best time to conduct a home visit?
How long have you lived at your current address?
Do you own or rent?
If you rent, do you have have your landlord's permission to have large dog?
If you rent, what is your landlord's name and telephone number?
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 would have access to?
Do you have a fence? Please read our fence policy.
If yes, what type of fence? (Wood, aluminum, chain link, invisible)
If you have an invisible fence, what brand is it and how often is it maintained by the company?
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:
Please list all names, ages, breed, gender and if spayed/neutered for each pet you currently own:
Please list all names, ages, breed, gender and if spayed/neutered for any other pets you have owned in the last 3 years:
Please identify all veterinarians used for the past 3 years (please include name of doctor, name of practice, address and phone number):
Do you give MTGRR consent to contact your vet to discuss your pets and medical history? If no, please explain:
Did your past pets or do your current pets live indoors, outdoors or both? Please explain:
Did your past pets or are your current pets wearing identification and rabies tags on their collar?
Were your past pets or are your current pets microchipped? If yes, is the microchip currently registered to you with current contact information?
Were your past pets or are your current pets on monthly heartworm prevention? If yes, what brand and where did you purchase?
Were your past pets or are your current 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:
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 ready to proceed with adopting immediately or willing to wait to ensure the right match is found?
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)?
Would you consider adopting a bonded pair of Goldens who already know and love one another?
Would you consider a Special Needs Golden, such as one who requires medication for a permanent but controlled condition?
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?
Do you plan on taking 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 known as "velcro shadows" as they want to be where their owners are?
Are you aware that Goldens are active and require daily exercise?
Are you aware that Goldens 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?
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?
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.
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