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Adoption Application

PLEASE READ CAREFULLY

Following approval, your application is valid for one year; 

after one year you will need to reapply. 

It can take up to 7-10 days to process an application

depending on verification of vet and personal references.

The Adoption Application Processing donation is $15.00.  Once we have

received your application processing donation we will process your

application.

Please click the Donate icon to pay by credit card or PayPal to pay the

Adoption Appplication Processing donation.  

Please retain your receipt and enter the last 4 digits on the Adoption

Application Form.

PLEASE TAKE CARE AND MAKE SURE THAT ALL QUESTIONS MARKED

"(required)" ARE ANSWERED OR YOUR APPLICATION WILL NOT SUBMIT

(this can be a problem when submitting from a mobile device)

When you submit your application you will receive an email confirming

that we have received your application.  If you do not receive a

confirmation email, please re-submit your application or contact us

at grrhadoptions@hotmail.com

Contact Information
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Preliminary Information
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New Family Information
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Home Environment
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Your History With Pets
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Care of Your Golden
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Will your dog...
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Are you willing to...
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Golden Preferences
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Post-Application Process
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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.)
 
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Please fill this field.

Due to some technical difficulties, if your application does not submit after multiple attempts, please:

Email grrhadoptions@hotmail.com and a blank email application will be sent for completion.

Thank you and we apologize for any inconvenience.