• Retriever Adoption Application

    Retriever Adoption Application

  • Thank you for taking the time to fill out this application. Please answer the questions in this application with your ultimate goal in mind: adopting a rescued retriever. Required answers are marked with an asterisk (*). After reading the instructions, click the Next button at the bottom of the page to begin filling out the form.

    The Retriever Adoption Application has 8 pages. You must fill in all required fields before advancing to the next page. After signing the form, click “Submit” on the last page. You will see a “Thank you” page and receive an email shortly thereafter confirming receipt of your form.

    If you want to save your form entries and continue later, click the Save and Continue Later button at the bottom of any page. In the Sign up to save submission window, go to the bottom of the window and click Skip Create an Account. In the Submission saved as draft window, enter your email address and click Send to receive a link to your draft form. If you cannot recover your draft form using the link, send email to gbrwebforms@gmail.com.

  • ADOPTION APPLICATION FEE

    The non-refundable application fee is $50.00. Your application will not be processed until we receive the application fee. You may pay online using this form or mail a check to: Golden Bond Rescue, P.O. Box 25391, Portland, OR 97298-0391. Return Adopters (i.e., persons who have adopted from Golden Bond Rescue previously) do not pay this fee.

    LOCATION FOR ADOPTIONS

    If you live outside GBR's primary adoption area (Oregon, Washington, Northern California, Idaho, Alaska and Southwestern British Columbia - special consideration will be given to GBR Return Adopters) your application may be denied. If you choose to continue and your application is denied for whatever reason, the application fee is non-refundable. If you choose not to continue, simply close this application.

    FAMILIES WITH CHILDREN

    Golden Bond does not adopt dogs to households with children under 10 years old. Please review “Kids and Dogs” on our web site for specifics.

    FENCED YARD

    Please read "Fence Requirements" on our website for our policy regarding fencing. EXTREMELY IMPORTANT! Exceptions are rarely made.

    RENTED HOUSING

    Golden Bond Rescue will consider renters on a case-by-case basis.

    On occasion, Golden Bond Rescue will waive one or more of the requirements listed above. If you feel there are extenuating circumstances that qualify you for exemption, please contact Golden Bond Rescue before submitting your application to see if we concur. If you have general questions about rescue and adoption, please send email to info@goldenbondrescue.com. One of our representatives will be contacting you shortly after we receive your application.

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  • ABOUT YOU AND YOUR FAMILY

  • Have you adopted a dog from Golden Bond Rescue before?*
  • How did you hear about Golden Bond Rescue?*
  • Relationship:

  • If you live outside GBR's primary adoption area (Oregon, Washington, Northern California, Idaho, Alaska and Southwestern British Columbia - special consideration will be given to GBR Return Adopters) your application may be denied. If you choose to continue and your application is denied for whatever reason, the application fee is non-refundable. If you choose not to continue, simply close this application.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Preferred phone number:
  • Do you have children under the age of 18 who live with you?*

  • Golden Bond does not adopt dogs out to families with children under age ten. If you have children under age ten living with you, do not continue with this application unless you have been notified by Golden Bond's Adoption Team that an exception will be made for your family. Please inquire at info@goldenbondrescue.com

  • Are there any other residents in the house?*
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  • Are ALL household members in complete agreement to adopting, caring for, and training a Golden Bond Rescue dog?*
  • Do any family members have an allergy to dogs?*
  • Are there other people who visit your home at least once a week (neighborhood children, relatives, etc.)?*
  • Are there other pets who visit your home at least once a week? If YES, please describe.

  • NOTE: WE WILL ASK YOU ABOUT YOUR OWN PETS IN A LATER SECTION.

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  • Note: Part of agreeing to adopt a dog will include an in-home visit when all people and animals in the home are present.

  • Are you agreeable to a home visit where a volunteer will bring their dog?*

  • ABOUT YOUR HOME

  • What type of home do you live in?*
  • Do you own or rent?*

  • Note: If you rent, please send a permission letter from your landlord to goldenscreenapps@gmail.com

  • About Your Yard

  • Does your property include an area which is completely enclosed by secure fencing (i.e., a dog can be released into without fear it will escape)?*
  • Are there stairs to get to the yard?*

  • Describe this area/yard in which your dog would have off-leash access:

  • Size of area/yard:*
  • Fencing material:
  • Does this area/yard contain any of the following?:

  • Other Features

  • Do you have a dog door?*
  • Is the dog door large enough for a large dog?

  • YOUR EXPERIENCE WITH PETS

  • I consider myself:*

  • Note: Golden Bond Rescue does not consider having had a family dog as a child as providing significant experience. We are interested in knowing your experience with dogs when you have had primary responsibility for major decisions regarding them, i.e., you decided what kind and how much food to feed, when and whether to take it to a vet and then what kind of treatment to undertake, etc.

  • Please list your current or previous dog experience for dogs you were financially responsible for as an adult. Begin with your current or most recent dog(s) and work backwards. It is acceptable to estimate dates and ages.

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  • Were any of these a dog from a rescue organization?
  • Have any of your current dogs shown aggression towards another dog or people?*
  • Have you ever had to relinquish a dog?*
  • Have you ever bred a dog?
  • Are you familiar with the retriever breeds?
  • Which retriever breeds have you owned?

  • About Your Other Pets

  • Please describe any other non-canine animals you have currently:

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  • Are all the pets, including dogs, present in your household up-to-date on their vaccinations?*
  • Are there any special-needs pets in your household?

  • Your Veterinarian

  • May we contact your preferred veterinarian’s office?*

  • Note: Your preferred vet is the one who has seen your pets [including cats and/or other non-canines] most recently and/or has the most complete records on them, including but not limited to vaccinations, annual exams, etc. He/she may not necessarily be your current vet.

    Golden Bond Rescue will call your veterinarian’s office to ensure that you have provided at least adequate vet care to your pets. We care only about the quality of care provided – we do not inquire about billing records or other personal information.

  • Note: If the records for your pet(s) are under a different name (e.g., maiden name or name from a previous marriage) from that on this application, please give that name here.  Similarly, if there are two different surnames given for the applicants on this application, please indicate the one under whose name the records will be found:

  • THE PERFECT RETRIEVER FOR YOU

  • Which breeds would you consider?*
  • What gender dog do you prefer to adopt?*

  • Note: Golden Bond generally finds that retrievers behave like puppies until about the age of three. Some dogs are lively and curious in the house – they like to play with you and follow you around. Some dogs lie down most of the time.

  • What type of activity level are you comfortable with in a dog?*
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  • Please rate the following canine traits according to how much they would displease you:

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  • Are you aware that retrievers are 'people' dogs and will want to live inside with their human family?
  • Will it displease you if the dog gets up on your sofa or your bed?
  • Is being able to take your dog to a “dog park” a must?
  • Would you be willing to adopt more than one dog at a time, dogs that are inseparable?*
  • Would you be willing to adopt a senior dog (8+ years old)?*
  • Would you be willing to adopt a special needs dog?*

  • Note: By “special needs,” we mean conditions such as special diets, assistance with getting into/out of a car, behavior issues, etc.

  • Would you be willing to adopt a puppy?*
  • Would you accept a mix that is part retriever?*

  • CARING FOR YOUR RETRIEVER

  • Note: We know that many people take their dogs with them when vacationing.  The next question asks where your pet will be housed when and if a situation, e.g., an out-of-town wedding or funeral, arises in which you can’t take your dog with you.

  • When you travel, who will care for the dog?*
  • How will you exercise the retriever?*
  • What type of collar will you use?*
  • Are you aware that a retriever is a large breed and has higher maintenance costs (food, vet and grooming bills, equipment) than smaller breeds?

  • Your Retriever and Children

  • If you plan to involve children under 16 years old in the care of your dog, how much adult supervision of dog and child will be provided?*
  • With neighborhood children?*

  • How much responsibility will your child or children be given in the care and management of the dog? (Skip the next section if you checked “N/A” above.)

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  • TRAINING YOUR RETRIEVER

  • Will you agree to take the dog to a positive-reinforcement training class or work one-on-one with a positive-rewards trainer if recommended by your Adoption Manager or the dog’s foster family?*
  • Have you ever completed a training class with a previously owned dog or current dog?
  • Do you understand that most of our rescue dogs will come with minimal training and will need a large amount of patience?

  • Note: Some of the rescued retrievers have been backyard dogs or strays and are therefore not housetrained. Some housetrained retrievers will have accidents in the house for a while after they come into an unfamiliar home.

  • Have you ever housetrained a dog before?
  • Are you comfortable with having to housetrain a dog?
  • Are you aware that the Adoption Fee for this dog(s) will be the least of your expenses during his/her lifetime?

  • Note:  Expenses include good nutrition, annual vet exams and shots, and grooming.  As with most pedigree breeds, retrievers may be prone to skin allergies, some degree of hip dysplasia and cancers that can be expensive to treat.

  • GENERAL AGREEMENT

    I am at least 21 years of age. All of the information I have given is true and complete. I understand that Golden Bond Rescue has the right to refuse my application.

    I am applying to adopt and have submitted the non-refundable $50.00 application processing fee online or by mail. (Return adopters do not pay this fee.)

    Your application will not be processed until we receive the application fee. To mail your payment, send it to:

    Adoption Application Fee
    Golden Bond Rescue
    P.O. Box 25391
    Portland, OR 97298-0391

    Or you may send payment via venmo@goldenbondrescue.

    Please sign your name in the box below by holding down the left "mouse" button while drawing your signature.

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  • Adoption Application fee payment:*
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      Adoption Application Fee
      $50.00
        

    • Click on Submit to transmit your Online Application Form to Golden Bond Rescue.

      Mail your check to:

      Golden Bond Rescue
      P.O. Box 25391
      Portland, OR 97298-0391

      We prefer to receive your application form electronically. However, if you print the form and mail it, please use a large envelope and do not fold or staple the pages.

      Thank you for your interest in Golden Bond Rescue. We appreciate the time it took to fill out this application. When your application is received, you will be notified by email.

    • Click on Submit to transmit your Online Application Form to Golden Bond Rescue.

      Email Venmo payment via: venmo@goldenbondrescue

       

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