Gateway Golden Retriever Rescue - Adoption Application

Gateway Golden Retriever Rescue
Personal Interview for Adoption Application

Your answers to the following questions will help Gateway Golden Retriever Rescue (GGRR) expedite the interview process. Please fill in the form below as completely as you can. Your answers will be automatically sent by email to the appropriate person who will call you to do a more in-depth telephone interview.

Please be patient. GGRR is an all volunteer organization and it may take several days to schedule the follow-up telephone interview. If nobody has contacted you within 7 days, please send an email to the GGRR Webmaster, or call the GGRR telephone number on this website's home page.

Be sure to re-read the Adopting A Golden webpage. You will be taken there after you submit your above answers. If you have any questions or concerns please let us know.

Once completed and submitted, a COPY of your application will be sent to you for your records, if you provided us with an email address.

^*Denotes optional fields

Date:
Name:
Phone:
^*Email:
Address:
City:
State:	GGRR serves Missouri and West Central Illinois ONLY
Zipcode:

Describe your family: (children, other family members living at home, anyone else who regularly visits your home, grandkids, etc.) What kind of pet experience do you have? (have you owned dogs, if so what kinds? What about other pets?) Do you still have your pet? Yes No If not, what happened? Where did/do you keep your pet? (inside, outside, crate, basement, garage, kennel, tieout, etc) What type of home do you have? (house, condo, own, rent, etc) Do you have a fenced yard? (not necessarily a requirement) What are you looking for in a golden retriever? ^How did you hear about Gateway Golden Retriever Rescue? ^Is there anything else that you would like to tell us? Do you have any other comments?

Thank you for your inquiry!

Member Management
user
pass

remember password
retrieve username/password
trouble logging on?
debug login problems