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Application for a Rescue Dog
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.
* Indicates required question
Email
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Your email
Nina and Cooper
Name of Applicant
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Your answer
Name of Guardian (if applicant is under 18)
Your answer
Email Address
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Your answer
Address
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Your answer
Phone Number
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Your answer
Is there a particular dog from our website you are interested in applying for? If so, please indicate which one.
Your answer
Have you read the description of the dog and it's history? (if not, please go read the description before continuing with application).
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Yes
No
Questions About the Home
How many people live in the home and what are their ages?
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Your answer
Do any members of the household have allergies to dogs?
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Yes
No
Are all members of the household agreeable to having a dog in the home?
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Yes
No
Is the home owned or rented?
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Owned
Rented
If renting, can you provide a copy of an agreement with your landlord allowing pets?
Yes
No
Maybe
Clear selection
Does the home have a completely fenced in yard?
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Yes
No
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?
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Your answer
Questions About Caring for the Dog
Have you ever owned a dog before?
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Yes
No
If so, what breeds and for how long?
Your answer
Have you ever had to re-home a dog or relinquish one to a shelter?
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Yes
No
If so, please describe the circumstances.
Your answer
Will the dog sleep indoors or outside?
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Inside
Outside in a dog house or kennel
In an outbuilding such as a garage
Other:
What is the primary neighborhood environment?
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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
No
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.
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Yes
No
Maybe
Will you carry veterinary insurance?
Yes
No
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?
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Your answer
Would you be willing to do a video interview?
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Yes
No
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?
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Yes
No
Other:
Submit
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