Preferred Phone Number - list as home/cell/work*

Additional Phone Number

Do you have a spouse or partner that lives with you?*

Spouse or partner's First and Last Name

Spouse or partner's Phone Number(home/cell/work)

Are you a member of RAGofAZ?*

I am interested in (select one choice):*

Do you have children under 18 that live with you? List their age(s).*

Do you have children or grandchildren who visit frequently? List their age(s).*

If you currently have other pets, please describe breed, age and gender.*

Are all your resident pets spayed or neutered?*

How many hours are you away from home per day, on average?*

How many hours will the dog be alone?*

Where will the dog be kept when you are not at home?

Is your yard fenced? How high is the fence?*

Do you have a pool and is it fenced?*

Do you rent your home?*

If you rent, you must provide written landlord permission to own a dog at the time of the home visit.*

What gender of dog do you prefer?*

What is your age preference? (you may choose more than one answer). Adoption Fee: 0 to 3 years $400; 4 to 7 years 11 months $300; 8+ years $250*

Would you consider adopting a mix?*

Would you consider adopting a pair?*

Would you be open to providing a loving home for a mill dog? Mill dogs, while they may initially show fear, phobias, repetitive behaviors and difficulty coping, have the potential to thrive with individualized care and attention. Each dog is a unique individual, and your positive influence can greatly contribute to their successful adjustment to a new and caring environment. RAGofAZ provides families who decide to adopt a puppy mill dog with specific strategies to help during the adjustment period.*

Would you consider a special needs Golden (ex. Diabetes, Epilepsy) or a Golden with major health problems (ex. hip dysplasia/high titer valley fever)?*

Do you have a dog door? If not would one be installed?*

Primary reason for adopting a Golden (e.g. companionship, agility, other)*

Part of agreeing to foster or adopt a Golden includes accepting an in-home or virtual visit. When would be a good time for us to arrange this visit?*

Are you aware that a Golden Retriever is considered a large breed and has higher maintenance costs (food, vet, equipment, grooming bills) than a smaller breed of dog? Do you believe you can afford the cost of caring for a Golden?*

I consider myself:*

What other pets have you had, how long did you have them, and were they with you their entire lives?*

Will you be able to exercise the Golden? (Please be aware that younger dogs require more exercise)*

If adopting, will you agree to take the dog to obedience classes if recommended by Rescue A Golden?*

Would you be able to housetrain if necessary?*

Is there anything else you would like us to know about you or your family ?

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