Skip to content
Search for:
Toggle Navigation
About
Adopt
Available Dogs
Application
Foster
Foster Application
Surrender
Intake Checklist
Volunteer
Volunteer Application
Donate
Golden Angel Sponsorship
Resources
Training Library
Golden Rule Training
Choosing Responsible Breeders
Lost and Found Help
Loading...
Application
admin
2023-10-22T18:43:42-07:00
Adoption Application_HBGRR
"
*
" indicates required fields
Step
1
of
3
33%
A Note About Adoption
We’re so glad that you are interested in adopting. Finding the right dog for you - and the right family for our dogs - is our priority, but the process does require patience – especially if you are looking for that perfect Golden Retriever. While we have lots of great dogs in need of loving homes, education and outreach have helped to reduce the number of homeless Goldens. Please read about our adoption process before completing your application so you will know what to expect.
Contact/Personal
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Day/Evening
Mobile Phone
Email
*
Occupation
*
Household
Adults in Household
*
Please enter a number less than or equal to
50
.
Number of Children in Household
*
Please enter a number less than or equal to
50
.
Ages of Children
*
Current Pet(s)
Pets Currently Owned
Current Pets Spayed/Neutered
Yes
No
Reason For Not Getting Dog Fixed
Family Support
Yes
No
Dog Experience
Prior Experience Owning a Dog
Previous Homeward Bound Adopter
*
Yes
No
Golden Interest
Description Of Dog Looking For
*
Consider Pair Of Dogs
*
Yes
No
Specific Dog From Website
*
Gender Interested In
*
Male
Female
No Preference
Age Of Dog Interested In
*
May select multiple boxes
Puppy 0-1 yr
1-3 yr
4-7 yr
8-10 yr
10 yr +
Breed of Dog Interested In
*
Pure Breed
Doodle
Mixed
Any
Color of Dog Interested In
*
May select multiple boxes
Blonde
Gold
Black
Red
Do You Need a Dog That is Good With Kids?
*
Yes
No
Do You Need a Dog That is Good With Other Dogs?
*
Yes
No
Do You Need a Dog That is Good With Cats?
*
Yes
No
Do You Have a Pool?
*
Yes
No
If Yes, Is It Fenced?
*
Yes
No
Description of Yard and Fence
*
You Live In a(n)
*
House
Apartment
Other
Own or Rent
*
Own
Rent
Other
Permission From Landlord
*
Yes
No
Landlord Name
*
Landlord Phone
*
Permission to Visit Home
*
Yes
No
Where Will Dog Sleep?
*
Number Of Hours Dog Left Alone
*
Where Will Dog Be Left Alone?
*
Current Veterinarian
Allergies
Yes
No
SIGN ME UP TO RECEIVE EMAILED NEWSLETTERS AND ANNOUNCEMENTS FROM HOMEWARD BOUND.
Yes
Email
This field is for validation purposes and should be left unchanged.
Page load link
Go to Top
