General Information and Completion Instructions:

GRRI-NJ is currently accepting applications from residents of New Jersey, and Westchester and Rockland Counties ONLY.

Please fill out this adoption application and press the submit button when completed.

All of the information is required. Please look over the application and make sure you have everything you need in order to fill it out.

Due to volunteer time constraints, incomplete applications will NOT be processed or returned to you for completion. Please double check your application BEFORE you submit it to us.

Applicants will be called by a GRRI-NJ volunteer within approximately 2 weeks of submission for an application review. If your application review is favorable you will then be contacted by a GRRI-NJ volunteer who will arrange for your home visit. Pending a favorable home visit, the application approval process will then be  completed.

GRRI-NJ reserves the right to refuse adoptions to any potential applicant(s).

Adopters must be over 21 years of age.

GRRI-NJ does NOT accept applications for specific Goldens. You must apply to adopt a Golden from our program. If you are approved, you will be matched based on available Goldens in our program.

GRRI-NJ adoptions are NEVER determined on a first come basis.  GRRI-NJ always chooses the most compatible environment for each Golden. Wait times may vary and depend on many factors.

GRRI-NJ rarely has puppies available for adoption. The vast majority of the Goldens we help are adults.  For information about local breeder referral, please email us.

Fees:

Non-Refundable Adoption Application Filing Fee:  $10.  This filing fee  must be submitted prior to your application being processed.  Payment of this fee does not guarantee that the application will be approved, nor does it guarantee that you will be given a dog by GRRI-NJ.  The adoption application fee will not be applied towards any adoption fee.

Non-Refundable Adoption Fees:  These fees are paid at the time of adoption, as follows: 

Puppies to 11 months:  $350
1 year to 7 years:  $325
Seniors (8+): $100
Pair: $350
Special Needs: $100

*  Puppies and (rarely) adult dogs are sometimes placed intact due to health or other concerns that prevent altering before adoption.  In those instances, adopters must also remit a $100 Spay/Neuter deposit which is refunded upon GRRI-NJ's receipt of documentary proof that the respective procedure has been performed.  Such proof must be submitted to GRRI-NJ within 30 days of adoption unless otherwise agreed  by GRRI-NJ  in writing at the time of adoption.

 

Please fill out this adoption application and press the submit button when completed.
Date Submitted:	27-Jun-17
Applicant Name:
Co-Applicant Name:
Relationship to Applicant:	Spouse Parent & Child Roomate Other
Applicant Age:
Co-Applicant Age:
Address:
City:
State:
Zip:
County:
Day Phone:
Evening Phone:
Which phone # can we contact you at?:	Day Evening Both
Email Address:
Is Pet for an...:	Adult Child Elderly Person Physically Challenged Other
Do you have any children?:	Yes No
If yes, How many?:
Age/Gender:
Does anyone in your family have Allergies?:	Yes No
If Yes, Please Explain:
Does anyone have Asthma?:	Yes No
If Yes, Please Explain:
Do you...:	Own Rent
Name, Address & Phone of landlord:
Do you have a fenced yard?:	Yes No
If Yes, how high?:
What type of fence?:
Approx Yard Dimensions:
Where will the pet be kept during the day?:
Is anyone home during the day?:	Yes No
If yes, who?:
Who will primarily be responsible for the care of this animal?:
Will this be your first dog?:	Yes No
Your first golden?:	Yes No
Other breeds owned:
Do you currently have other pets?:	Yes No
Types:
Age/Gender:
If you have cats, are they declawed?:	Yes No
Are your pets spayed/neutered?:
If you had a pet die because of age, illness or accident, Please explain. Maxiumum: 1000 characters
How far would you be willing to drive to meet a Golden available for adoption?:
Please give the name & address of the Veterinarian/Animal Hospital that will be taking care of the dog:
Veterinarian's Phone Number:
How did you hear about GRRI-NJ?:
What other rescue groups have you applied with?:
Rescue Goldens range in age. What age will you consider?:	1 - 3 3 - 6 6 - 9 9+ Any Age
Gender Preference:	Male Female Does Not Matter
Would you consider a pair of Goldens?:	No Yes
Would you consider a Golden with special needs (medical or other)?:	No Yes
Please provide a reference whom we can contact:
Reference Phone Number:
Relationship to You:
Please Read and Check Each of the Following Items to Acknowledge Your Agreement with GRRI-NJ's Terms of Adoption.
I fully understand that there are costs involved in maintaining a Golden. I agree to hereby assume full responsibility for the food bills, health care and licensing of any Golden I adopt from GRRI-NJ. Yes
I pledge to make sure any Golden I adopt from GRRI-NJ will always be placed in a safe situation when I am not at home. Yes
I agree not to tie or chain any Golden I adopt from GRRI-NJ indoors or outdoors, not let him/her run off my property without being leashed. Yes
I agree to train or re-train any Golden I adopt from GRRI-NJ to be a good companion. Yes
I understand that if I adopt an intact Golden through GRRI-NJ, I must give a deposit of $100 cash. The entire amount of this deposit will be refunded to me when the Golden has been neutered or spayed and a statement to this effect is received by GRRI-NJ from the Vet performing the surgery. I commit to have said intact Golden spayed or neutered within 30 days of adoption. Yes
I understand that be completing this application, I am agreeing to take sole legal responsibility for any Golden I adopt from GRRI-NJ, and I understand that GRRI-NJ will not be legally liable or responsible for any damage to persons or property that may be caused by any Golden adopted by me. Yes
If, for any reason, I should not be able to keep any Golden I adopt from GRRI-NJ, I understand that I am obligated to return said Golden to GRRI-NJ. Yes
I understand that if any Golden I adopt from GRRI-NJ is being neglected or abused, GRRI-NJ has reserved the right to reclaim said Golden. Yes
I understand that if I adopt a Golden from GRRI, at the time of adoption, I will execute and fulfill the obligations of the GRRI Adoption Agreement, and remit an adoption fee to GRRI (see adoption fees listed above this form). Yes
I grant GRRI-NJ full access to all veterinary records for the pet(s) referenced in this application. Yes
Pay by Pay Pal Option... I have remitted the $10 non-refundable GRRI Adoption Application filing fee via PayPal. I understand that payment of this fee does not guarantee that my application will be approved, nor does it guarantee that I will be given a dog by GRRI-NJ. I understand that the adoption application fee will not be applied towards any adoption fee. The Pay Pal link will appear after you submit this application. Yes
Pay by Check Option... I prefer to remit the $10 non-refundable GRRI Adoption Application filing fee by check. I understand that payment of this fee does not guarantee that my application will be approved, nor does it guarantee that I will be given a dog by GRRI-NJ. I understand that the adoption application fee will not be applied towards any adoption fee. I understand my application will not be processed until payment is received. Yes Please send a check payable to GRRI-NJ to the following address: GRRI-NJ P.O. Box 104 Pleasantville, NY 10570
I Agree to a Home Visit:	Yes
I am completing this agreement of my own free will and not under duress of any kind: Yes
Please provide us with additional information about yourself - - such as why you want to adopt, as well as information about your past and present pets (if any). Please provide us with as much information as possible so we can work towards a perfect match with a rescue Golden. Character Count:   Maxiumum: 5000 characters