Canine Adoption Application

The life span of a dog can go well beyond 10 years. Are you committed and willing to take responsibility for this dog for the duration of its life?*

YesNo
Are you prepared, not just for the annual cost of caring (food, vaccinations, grooming, licensing etc) but also for medical needs required in case of sickness or injury?*

YesNo
GREGORY'S GIFT OF HOPE REQUIRES THAT ALL OUR ADOPTED DOGS ARE SPAYED/NEUTERED. All dogs over 6 months old will already be altered before adoption BUT all dogs under 6 months of age will not. The expense will be your responsibility. If you have any questions or reservations about spay/neutering, please explain.
How much unsupervised time will this dog spend outside?*
How much time alone (without human companionship) will this dog have per day and where will he/she spend this time?*
Where will this dog sleep at night?*
How will you provide care for this dog when you are traveling/on vacation?*
Although unpleasant to think about, arrangements need to be made for your pet(s) should something occur that would make you unable to care for them, such a your hospitalization, loss of job or home, or even death. Too often pets are surrendered to rescues or become homeless because no arrangements were made in regard to such unfortunate circumstances. What actions have you already or can/will you take to avoid this? *

Have you adopted a pet before?*

NoYes
If yes, name or phone of Organization
Veterinary Clinic's name & phone (current and/or past) for resident pet(s)*
Person's Name your pet's records are under:

Please tell us about the pets you have now*

	Name	Species	Breed	Spay/neutered	Date of Vaccination	If cat declawed	Pet Age	Notes
1.
2.
3.
4.
5.
6.

If your existing cats or dogs are not spayed or neutered, please tell us why.
Veterinary Clinic's name & phone for previous pet(s) below:*

Please tell us about the pets you have had in the past 10 years that you no longer have*

	Name	Species	Breed	Spay/neuter/vaccinations	Pet Age acquired	Pet Age no longer in possession
1.
2.
3.
4.
5.
6.

For the pets in the above section that are no longer in your possession, please provide an explanation, giving as much detail as you can to assist in our decision making process*

Please supply us with 3 references (does not include present household)*

	Name	Phone	Email
1
2
3

ADOPTION TERMS AND AGREEMENT

Please read carefully. By initialing a paragraph, you have agreed to that term. Omission of information or failure to answer all questions will result in this application being declined.
1) I, hereafter referred to as the "adopter", agree that the aforementioned dog is being adopted by me solely, as a pet for myself and/or my immediate family. I agree that I will not sell, give away, or otherwise dispose of said dog to any person, dealer, retailer, auction or other entity, for any reason.*
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2) If I determine a need to surrender this dog, I will first contact GGOH and have a trainer evaluation performed in my home to determine if there are options available to work towards keeping the dog vs surrendering it back to us. If training sessions would be beneficial to the dog, I agree to have a GGOH trainer conduct training sessions with me and family at my home to help us reach an agreeable training goal.*
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3) I agree and understand that any surrendering back to GGOH will incur a $100 surrender fee and any said dog will need to be up to date on all vaccinations--copies to be provided by current veterinarian clinic in use. Failure to provide and abide by these conditions will result in a $500 fine, enforceable by court order.*
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4) I agree to care for this dog in a humane and responsible manner and to provide shelter, food, water, and proper veterinary care. I further agree that this dog shall reside inside my home and WILL NOT BE ALLOWED TO ROAM FREELY OUTSIDE. I agree that any canine adopted from GGOH will NOT be debarked.*
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5) I agree to pay the adoption fee to cover the rescue's expenses in caring for this dog prior to adoption. THIS FEE IS NON-REFUNDABLE. $500 Puppies (under 12 months old), Adult Dog (12 months thru 8 years) $325, Seniors (9 years and older) $200. *
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6) I understand and agree that Gregory's Gift of Hope Inc makes no representations or warranties (expressed or implied) about the animal's temperament and is absolved from any liabilities for future damage or injuries caused by said dog*
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7) I understand that the adoption decision is dependent upon many factors, including but not limited to, the compatibility of the family and home to the individual dog as determined by interview and home visit by a trained representative of GGOH Inc.*
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8) We require our adopters to enroll into training classes, board and train, or in your home training (by a qualified trainer) for all dogs under 24 months old, and strongly recommend it for all dogs. We feel strongly that training classes help strengthen bonds, communication, and enhance good manners. We will follow up to verify a training course has been completed and require proof of completion. I agree to complete a positive training course within 6 months from date of adoption. *
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9) I have read all requested information carefully and certify that all statements made by me are true and accurate.*
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10) I understand that Gregory's Gift of Hope Inc has the right to confiscate the aforementioned dog in the event these statements are found to be false.*
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TO VISIT/MEET ANY OF THE GREGORY’S GIFT OF HOPE RESCUE ANIMALS YOU MUST READ AND SIGN THIS WAIVER/RELEASE FORM: I and family members agree to wear a face mask, if requested, during a rescue animal visitation/meeting and/or at any GGOH Rescue Animal event. Although precautions are taken, the risk to have contact with individuals who have been exposed to Covid-19 does exist and it is impossible to eliminate the risk that I or family member could be exposed to and/or become infected through contact with or close proximity with an individual with this disease. I hereby fully and forever waive, release, and hold harmless, Gregory’s Gift of Hope Animal Rescue/Shelter, including board members, foster homes, and volunteers, from actions, claims or every nature whatsoever, damages and judgements which I may have now or in the future against Gregory’s Gift of Hope Animal Rescue/Shelter for injuries or sickness to myself and family members, known or unknown, and arising out of myself or family member as a visit, volunteer, and/or prospective adopter of Gregory’s Gift of Hope Animal Rescue/Shelter. I, THE UNDERSIGNED, HAVE READ THIS WAIVER AND RELEASE AND UNDERSTAND ALL OF ITS TERMS. I EXECUTE IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.*
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Disclaimer: Gregory's Gift of Hope Inc reserves the right to reject any application based on information obtained on the application or home visit. Please understand that our primary goal is to ensure the health, happiness, and safety of our rescued dogs.
*Please have patience as it can take up to 4 business days

for us to contact you with approval or denial of your application.*
Signature*

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Spouse Signature

Clear
Date

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Canine Adoption Application

ADOPTION TERMS AND AGREEMENT