Adoption Application

PLEASE READ CAREFULLY

You must pay the non-refundable $20.00 application processing fee before you submit your completed Adoption Application. To pay the application processing fee, please click here to pay by credit card or PayPal (a new window will open).

Please retain your receipt and enter the last four (4) digits on the Adoption Application.

Please allow at least two weeks to process your application.

If your application is approved, it will be valid for one (1) year.

PLEASE TAKE YOUR TIME AND MAKE SURE THAT ALL QUESTIONS ARE ANSWERED OR YOUR APPLICATION WILL NOT SUBMIT.

You will receive an email confirming that we have received your application.  If you do not receive a confirmation email, please contact us at grrhadoptions@hotmail.com

Contact Information

Preliminary Information

New Family Information

Home Environment

Your History with Pets

Care of Your Golden

Golden Preferences

Post-Application Process

NOTICE: Answers are expected to be complete and truthful as they will enable us to be more familiar with your request and requirements and will help us find the Golden Retriever which best matches your needs and expectations. Failure to supply accurate information can result in revocation of the adoption at any time by GRRH. By completing this form the undersigned(s) expressly give permission to GRRH to verify the information contained in this Application and further release GRRH from any and all liability associated with this Application or with the adoption of a dog through GRRH.

I/We attest that the Terms and Conditions of Adoption as stated above have been read in full by me/us and I/we understand that these terms constitute a part of the adoption agreement between me/us and GRRH and will be enforced.

I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. I/we attest that we have retained a copy of the Adoption Requirements and also understand that completion and submission of this application does not guarantee adoption of a Golden Retriever. (If application is sent electronically I/we further attest that no changes have been made to the content of this document. I/we understand that approval by signature is assumed and agree to transmit a signed original (or facsimile copy thereof) prior to any decision by GRRH on my/our adoption application.)