GHOG Dog Adoption Application

  • Gracie's H.E.A.R.T. of Gold Dog/Puppy Adoption Application

  • Thank you for taking the time to fill out our questionnaire. Our main goal is placing our rescued furkids in a compatible home with a family that will give them a LIFETIME commitment of love and proper care.

    You can call on us at any time to help you in any way as our pets transition into your home. We are forever committed to each and every one from our rescue. 

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

    NOTE: We do not ship or adopt our animals as gifts. We require a face-to-face meeting.

    IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST:
    • Be 21 years of age or older.
    • Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet for the entire life of that animal.

    PLEASE ANSWER ALL QUESTIONS COMPLETELY 

  • Applicant Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Household Information

  • Have your children been around animals before?*
  • Do you live in a*
  • Do you own or rent?*
  • Do you have a fully physically fenced yard?*
  • If no physical fence around yard, what form of restraint from straying do you plan to use?*
  • Does anyone in your home have allergies to dogs or have asthma?*
  • When you travel or vacation, what accommodations are made for your pets?*

  • Current/Previous Pet Information

  • Have your current pets been kept up to date on the following? Check all that apply if IS kept up to date:*
  • Have you adopted from an animal welfare group before?*
  • Have you ever fostered for a shelter or rescue?*
  • Have you ever given up or "rehomed" a pet?*
  • Have you had any puppies/dogs in your household within the past year with parvo, distemper, kennel cough, mange, or coccidia?*
  • If currently have dog (s), what is comfort level with other dogs? Check all that apply:*

  • New Pet Information

  • Are you aware of crate training, if needed?*
  • Do you allow pets on your furniture?*
  • Do you plan to take an obedience class with your dog?*
  • I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
  • Should be Empty: