* Required
Have you read AGN's Terms and Conditions for Adoption? If no, please do not proceed until you've done so.
Have you submitted your NON-REFUNDABLE $40 application fee/tax-deductible donation? If not, please do so in order that we may proceed with processing your application
Is there a specific dog you are interested in adopting from AGN? If so, which dog and why are you interested in this specific dog?
If you are interested in a specific AGN 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?
* Applicant Name
Applicant's Age (please note all applicants must be 25 and older)
Co-Applicant Name
Co-Applicant's Age (please note all applicants must be 25 and older)
* Street Address
* City
* Zip Code
* State
Daytime Phone Number
Evening Phone Number
* Email Address
Applicant's Occupation
Employer Name
Applicant's Work Schedule
Co-Applicant's Occupation
Employer Name
Co-Applicant's Work Schedule
Please list the names and ages of all persons (including applicant) 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 caregiver 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?
What type of home do you live in (house, townhome, duplex, condo, apartment)?
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)?
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 before adoption?
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:
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 (if not previously listed above):
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 AGN 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?
If no, please explain:
Were your past pets or are your current pets microchipped?
If yes, is the microchip currently registered to you with current contact information? Otherwise, please list registrant info:
If no, please explain.
Were your past pets or are your current pets on monthly heartworm prevention?
If yes, what brand and where did you purchase?
If no, please explain.
Were your past pets or are your current pets on monthly flea/tick prevention?
If yes, what brand and where did you purchase?
If no, please explain
Have you ever had a pet that got lost?
Have you ever had a pet stolen?
Have you ever given away or sold a pet?
Have you ever turned a pet into a shelter?
If you answered yes to any of the above four questions, please explain the circumstances:
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):
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? (check all that apply)

What activity level are you looking for in a Golden?

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 Golden 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 your 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?
AGN feeds premium dog food (no legumes, peas, potatoes) to our foster dogs to maximize their health. Are you willing to continue feeding a premium diet that is conducive to your dog's health status?
If no, please explain.
What arrangements will be made for your Golden when you travel?
Rescued Golden Retrievers have sometimes been in neglectful and/or abusive situations; therefore, may experience difficulty making the transition to a new home. Are you willing to be patient while your Golden 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 Golden 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 AGN 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 past pets or current 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 and 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 AGN?
If you wish, please tell us about yourself and your family; including any special activities in which your AGN 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.
* Are you a past AGN (formerly MTGRR) adopter? If not, how did you hear about AGN?
By submitting this application, I/we hereby certify that all information provided on this application is true, compete 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. Adopt a Golden Nashville reserves the right to refuse any adoption.
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