ADOPTION APPLICATION

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ADOPTION FEES ARE AS FOLLOWS AND ARE NON-REFUNDABLE.

New adoption fees applies to any application received after February 1, 2016.

Purebred puppies = $600
Mixed puppies = $400
1-4 years = $375
5-8 years = $325
9 years and older = $250
Turkey Dogs = $600
Golden doodles = $700 (no age stipulation)

Pawnote - For our New England adopters, there is an additional transport and health certificate fee. Please check out our Knoxville to New England page for more details.

All applications require a $25 nonrefundable application fee . (After submission of the below form, you will be provided a link to PayPal to submit your fee.) You must be 21 years of age to complete an application. Once your application and fee have been received, an adoption volunteer will contact you to discuss your application. Thank you for your interest in Adopt A Golden Knoxville We look forward to speaking with you!

 
CONTACT INFORMATION

Pawnote - APPLICANTS MUST LIVE WITHIN A 200-MILE RADIUS OF KNOXVILLE, TN.

*First Name of Applicant
*Last Name of Applicant
First and Last Name of Co-Applicants
*Address

*City
*State
*Zip
County
*Home Phone
*Work Phone
*Cell Phone
*Email Address
HOME INFORMATION
Applicant Occupation, Employer, and Work Schedule
Co-Applicant Occupation, Employer, and Work Schedule
How long have you lived a current address?
If less than a year, please provide previous address.
Dwelling Type:
Do you: Own Rent
If you rent, provide the leasing agent's contact information (name and phone number).

Pawnote - AGK DOES NOT REQUIRE A PHYSICAL FENCE; HOWEVER, NOT HAVING A FENCE WILL LIMIT THE DOGS AVAILABLE TO YOU FOR ADOPTION.

Do you have a fence? Yes No
If yes, what type of fence (material and height)?
If no, do you plan to install one? Yes No
If you do not have a fence and do not plan on installing one, how will the dog be contained while outside?
Do you have a pool? Yes No
Do you have water access (lake house, beach house, or boat)? Yes No
How do you plan to exercise the dog?
FAMILY INFORMATION
Please list all members of your household and ages of ANY children who either live with you or visit you on a regular basis (include any grandchildren or other relatives)
If you plan to have children, how will you handle the added demands of young children and your golden retriever?
Is any member of your household physically, mentally or emotionally challenged? If yes, please explain:
PET INFORMATION

Pawnote - ALL ANIMALS IN THE HOME MUST BE SPAYED/NEUTERED, UP TO DATE ON VACCINATIONS AND YEARLY HEARTWORM TESTS, AND GIVEN MONTHLY HEARTWORM PREVENTATIVES YEAR ROUND.

List names, ages, spay/neuter status, species (dog, cat, etc), and breed of ALL pets in your household:
Please provide a history of any dog ever owned:
Have you ever: Lost a pet? Had a pet stolen? Given away/sold a pet? Turned a pet into a shelter?
If yes, please explain.
Have you ever adopted a dog? Yes No
If yes, how did you obtain the dog?
What breed was the dog?
Have you or anyone in your family or living in your household, ever had an animal control violation or been convicted of an animal-related crime? Yes No
If yes, please explain:
If you ever had a pet die at an early age or due to an accident, please provide details:
VETERINARY REFERENCE INFORMATION

Pawnote - IF VETERINARY REFERENCE INFORMATION IS INCOMPLETE AND/OR INCONSISTENT, AGK RESERVES THE RIGHT TO CLOSE THE APPLICATION.

What is the name, phone number and address of your current vet or the previous vet you used?
ADOPTION INFORMATION
What are you looking for in a Golden?
Would you consider a pair of Goldens who already know and love one another?
Age?
Sex?
If it has a Golden personality, would you consider a mix?

Pawnote - AGK REQUIRES ALL PUPPIES 6 MONTHS AND YOUNGER TO BE ADOPTED BY THOSE WITH EITHER A STAY-AT-HOME OR WORK-FROM-HOME FAMILY MEMBER.

Who will care for, exercise and train the dog?
How many hours a day will the dog stay alone?
Where will the dog stay when you are away from home during the day?
Where will the dog sleep at night?

Training Information

Have you ever used a crate? Yes No
If yes, under what circumstances and for how long each day:
If no, are you willing to use one? Yes No
Where will your dog stay when you go out of town?
Retractable leashes are prohibited for Adopt A Golden dogs. These leashes have proven dangerous to humans and dogs.
Are you willing to take your dog to obedience training? Yes No
Consult an expert for advice on behavior problems? Yes No
Are you aware that many Goldens are thunderphobic? Yes No
How do you handle thunderphobia and if you are not aware of this issue are you willing to work with a trainer/behaviorist in order to handle this issue?

Pawnote - AGK IS TO BE NOTIFIED IMMEDIATELY IF THE ADOPTER BECOMES ILL, HOSPITALIZED AND CAN NO LONGER CARE FOR THE DOG. FAMILY MEMBERS SHOULD BE MADE AWARE OF THIS IN CASE OF AN EMERGENCY REQUIRING THE DOG TO BE REHOMED FOR ANY REASON.

Why do you want to adopt a Golden?
Why do you think you would be a good adopter for one of our Goldens?
Are interested in volunteering for Adopt a Golden Knoxville? Yes No
How did you hear
about us?
If other, please explain (i.e., name of volunteer):
 
In most cases, any applicant not meeting fencing and child age restrictions will be unable to adopt a Golden from Adopt A Golden Knoxville, Inc. However, we realize that occasionally there are exceptional circumstances. For those cases, experienced dog owners are invited to request an exemption by submitting a detailed letter describing their circumstances. In order to be considered for exemption, a letter of recommendation from a veterinarian detailing the care of any current or previous pets must also be submitted.

I/We acknowledge that all the information provided is true and correct and that I/we have answered all questions truthfully. I/We verify that I/We have read, understood and agree to follow the terms and conditions of Adopt A Golden Knoxville, Inc.ís Adoption Requirements. I/We understand that Adopt A Golden Knoxville, Inc. assumes approval by signature of any application electronically sent. Yes No

Submission of application does not guarantee placement of a foster dog through Adopt A Golden Knoxville, Inc.