Application for a Rescue Dog

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4Gold Service and Rescue is currently accepting applications for dogs in our rescue program. See descriptions for current rescues that are available on the Rescues page of our website.

Email *

Nina and Cooper

Name of Applicant *

Name of Guardian (if applicant is under 18)

Email Address *

Address *

Phone Number *

Is there a particular dog from our website you are interested in applying for? If so, please indicate which one.

Have you read the description of the dog and it's history? (if not, please go read the description before continuing with application). *

Yes

Questions About the Home

How many people live in the home and what are their ages? *

Do any members of the household have allergies to dogs? *

Yes

Are all members of the household agreeable to having a dog in the home? *

Yes

Is the home owned or rented? *

Owned

Rented

If renting, can you provide a copy of an agreement with your landlord allowing pets?

Yes

Maybe

Clear selection

Does the home have a completely fenced in yard? *

Yes

Please describe what a typical day would be like for a dog in your home. Will the dog be left alone for extended periods of time? Who will take care of the dog's needs throughout the day? *

Questions About Caring for the Dog

Have you ever owned a dog before? *

Yes

If so, what breeds and for how long?

Have you ever had to re-home a dog or relinquish one to a shelter? *

Yes

If so, please describe the circumstances.

Will the dog sleep indoors or outside? *

Inside

Outside in a dog house or kennel

In an outbuilding such as a garage

Other:

What is the primary neighborhood environment? *

Big city with a lot of noise and traffic

Suburb with neighborhood traffic

Rural with minimal traffic

Other:

Rehoming fees range from $175-$325 depending on veterinary care and assessment/training fees that may be incurred. Do you understand that payment in full is expected before you can take a dog home?

Yes

Clear selection

Are you financially able to provide proper nutrition and veterinary care for a dog? The cost for providing proper nutrition and veterinary care can be $1,000 or more per year depending on where you live. *

Yes

Maybe

Will you carry veterinary insurance?

Yes

Clear selection

How soon are you wanting to take possession of a dog or puppy?

Less than 6 months

6-12 months

12-24 months

Longer than 24 months

Clear selection

What kind of training do you plan to do with the dog? *

Would you be willing to do a video interview? *

Yes

Maybe

If accepted as a recue dog recipient, you will be required to sign the following agreement/ release form.

Do you understand and accept the terms of the release agreement? *

Yes

Other:

Submit

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