Adoption form

your home address:

your city, state, zip code:

your home telephone:

your work telephone:

your e-mail:

1) Do you have any children currently living with you?
none
one
two
three or more

2) How old are your children?
less than 5 years
6-10
11-15
16 or more

3) Do you own your home?
yes
no

4) If you rent, do you have the landlord's permission to keep a pet greyhound?
yes
no

(written permission, signed by your landlord and submitted to a place for us greyhound adoptions, is required by renters to adopt a greyhound.)

5) Is your yard fenced?
yes
no

6) Please describe your yard and fencing:

7) If your yard is not fenced, how will you exercise your dog?

8) Do you have any other pets?
yes
no

9) If yes, what kind and how many of each?

9) Do you have a vet?
yes
no

Vet's name & phone number:

10) If you are unable to keep this greyhound, will you return it to this adoption center?
Yes
No

11) If the greyhound is lost, will you notify the adoption center?
Yes
No

12) Are you interested in participating in any of the activities in question 13?
Yes
No
Maybe. Would like more info.

13) If “Yes,” please indicate which ones:
Lure coursing
Obedience training
Agility training
Other

14) Describe the activity level of your household:
Very quiet
Quiet
Some Regular Visitors
Usually Active
Very Active

15) Would you consider a greyhound with "special needs" (physical restrictions or an unusual personality)?
Yes
No

16) Can you provide us with any additional information which you feel is important to adopting a greyhound?

17) Please list two personal references (not relatives) with phone numbers that you have known for at least one year.

18) I understand that a visit to my home may be scheduled by the adoption coordinator prior to my acquiring a greyhound. I understand the reason for this, and agree to it. I certify that the information supplied on this application is true and correct.
Yes
No