Adoption

Gold County Havanese Rescue, Incorporated Dog Adoption and Foster Home Application.
This application is for applicants who wish to provide foster care to a rescue dog as well as for applicants who wish to adopt a rescue. A nominal adoption fee, not to exceed $200 for males and $300 for females, may apply depending on the circumstances involved in the rescue process. Please fill in this form completely. If more room is needed for your answers, please provide an attached page with the information requested.

*(denotes required field)
SECTION I - Information About You
SECTION II - Information About Others Living In The Household
SECTION III - The Home


SECTION IV - Getting To Know You
Do you have experience with:






Are you willing to do the following?






Veterinarian and Clinic you plan to use:
SECTION V - Pets



SECTION VI - References


Note:
Gold Country Havanese Rescue, Incorporated is not affiliated with any other organization. A hard copy of the adoption application is available here if in case you prefer to complete the application by hand and sending by snail mail. Once you’ve submitted the application either electronically or by snail mail, you may contact Patty Hemple at 916-395-7701 for updates or further instructions on forwarding.

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