Adoption Application

We only serve families who live in Southeastern Virginia. This is a long application. Before you begin, please review the list of cities and counties we serve at this link before entering your address. If your location is not clearly listed, or if you have any doubt about eligibility, do not complete this application. Instead, contact our adoption coordinator at adoptions@adoptagolden.com to confirm whether we can cover your area.

Please confirm*

I have reviewed the service area list and confirm that my address is eligible or I have already received approval from the adoption coordinator to apply.

Name*

Age*

Email*

Applicant Phone Number*

This is the number where we can BEST reach the applicant.

Do you accept text messages at this number?*

Yes

No

Best Time to Call*

Preferred Method of Communication*

Email

Phone Call

Text

Address*

Employer/Occupation*

Co-Applicant's Name

Age

Email

Relationship to Applicant

Employer/Occupation

Co-Applicant Phone Number

This is the number where we can BEST reach the co-applicant.

Do they accept text messages at this number?

Yes

No

Indicate how you will exercise your dog*

How will your dog be cared for if you are away from home (e.g. military deployment, business trips, vacations, etc)?*

How many hours will this dog be alone per day?*

Where will the dog be kept when you are not at home during the day (e.g., in a crate, in a specific room or area, free roam in house)?*

Where will the dog be kept at night when you are sleeping (e.g., bedroom, crate, free roam in house)?*

Family Environment

How many adults live in your home?*

Adults' ages (separate by commas, youngest to oldest)*

How many children live in your home?*

Children's name and ages (separate by commas, youngest to oldest)

Describe your children's experience with dogs.*

If there are no children in the home, enter N/A.

Are you currently expecting a child?*

Yes

No

At what age do you think it's acceptable to leave a child unsupervised with a dog?*

Does everyone in the family agree with adopting a golden retriever?*

Yes

No

If no, please explain.

Your Adopted Dog

Why do you desire to adopt a dog (check all that apply)?*

If Other, please explain.

Why do you want to adopt a rescued golden retriever?*

Do you see any disadvantages in owning/adopting a golden?*

What traits are you looking for in a dog?*

Adult goldens are spayed or neutered and we require you to spay or neuter any adopted puppies. Explain any reservations you have about these policies.*

When would you like to adopt?*

ASAP

1-3 months

3-6 months

6-12 months

Are you willing to care for this Golden for the next 10 years or more?*

Yes

No

Are you aware that routine costs of maintaining a dog average at least $2000 per year for minimum basic care?*

Yes

No

I am able to afford all the expenses associated with caring for a dog.*

Yes

Have you ever previously applied to foster or adopt with SEVA GRREAT?*

Yes

No

If yes, when?

Have you ever adopted a rescue dog (check all that apply)?*

Yes from SEVA GRREAT

Yes from another rescue

No

If you have adopted from SEVA GRREAT before, please provide the name of your dog and the approximate adoption date.

What challenges (if any) have you ever had with your previous rescue dog?*

If you have ever given up a dog to a rescue, to a shelter, or to another person, please explain the situation in detail.*

Please supply two references (name and phone) that we may contact during the approval and adoption process.*

Have you ever been convicted of an animal abuse crime?*

Yes

No

Additional comments. What else would you like us to know about you?*

I ACKNOWLEDGE ALL THE INFORMATION CONTAINED IN THIS FORM IS TRUE AND CORRECT. I UNDERSTAND THAT ANY MISREPRESENTATIONS OF FACT MAY RESULT IN MY APPLICATION OR ADOPTION BEING DENIED AND/OR THE REMOVAL OF THE ADOPTED DOG FROM MY HOME BY SEVA GRREAT. SEVA GRREAT RESERVES THE RIGHT TO REFUSE ANY APPLICANTS IF THEIR SITUATION IS INCOMPATIBLE WITH THE NEEDS OF A RESCUED GOLDEN RETRIEVER.*

Yes

How are you submitting the Adoption Application Fee?*

I paid via the PayPal Button at the top of the page. (If you did not pay before starting this application, please finish the application and click below to submit it BEFORE you pay.)

I am submitting a personal check. Please make it payable to SEVA GRREAT and mail to us at: PO Box 8014, Yorktown, VA 23693

COVID-19 WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against SEVA GRREAT and its owners, officers, directors, managers, officials, trustees, agents, volunteers, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing SEVA GRREAT’s services and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.*

Yes

After you submit your application, you will receive an email acknowledgement from us, usually within 3-4 days. We may have questions or something may be missing from your application that we will need in order to proceed. If you do not see something in your inbox, please check your junk/spam folder.

CAPTCHA