Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Pager/Cell Phone
Home Phone
Spouse Occupation
Occupation

Age Group

18-25 26-35 36-45 over 45

How did you hear about Adopt-a-Greyhound?

Why would you like to adopt a greyhound?

Rate your gender preference for a male dog on a scale of 1 to 10.

1 2 3 4 5 6 7 8 9 10

Rate your gender preference for a female dog on a scale of 1 to 10.

1 2 3 4 5 6 7 8 9 10

List 4 color preferences from most desirable to least desirable?

Number of children in your household and their ages.

How many hours a day would your greyhound be left alone?

Do you have cats?

Yes No

How many cats do you have and their ages?

Do you currently have other dogs?

Yes No

Please list breed, sex and age for each.

What other pets have you owned in the past 10 years?

Why are they no longer with you?

Do you currently have a vet?

Yes No

Please list name, address and phone number:

Your dwelling type:

House Condo Apartment Mobile Home

Do you rent your home?

Yes No

If you are renting, do you have permission from your landlord to have a dog over 50 pounds?

Yes No

These hounds arrive as healthy dogs and although they now have current vaccinations, they come with no previous medical records or history. Are you aware that upon adoption, you will be responsible for routine vet care, such as vaccinations and heartworm preventative?

Yes No

We know that accidents happen and your dog might slip away from you. Because we are a greyhound rescue group, we are usually called on to retrieve lost greyhounds whether they have our tag on them or not. If they are registered with us (as you are), we trace their owners through the ear numbers. Please list the name and number of somebody who would be willing to pick up your dog in case we are unable to do so and we cannot contact you.

How do you feel about crating?

NO under any circumstances Would consider in certain situations Feel more comfortable crating in my absence

How would you describe the activity level of members of your household?

Very Active Moderately Active Quiet

Adopt a Greyhound Atlanta provides a collar and 6 ft leash when you adopt. Specify color preference:

Cranberry Red Pastel Pink Dusty Rose Burgundy Deep Purple Bright Purple Lilac Ice Blue Cadet Blue Royal Blue Navy Green Fawn Black

Please list 2 personal references (1 may be a family member):

Are you aware that Greyhounds are inside pets?

Yes No

Are you willing to keep your greyhound inside?

Yes No

Do you promise to keep a collar with an identification tag on your hound at all times?

Yes No

Do you have a fence? A greyhound can run up to 45 mph, is easily distracted and must be walked on a leash or in an enclosed area only!!!!!

Yes No

If you don't have a fence, are you willing and able to walk your greyhound on a leash several times a day to relieve itself?

Yes No

Are you fully aware of the fact that your greyhound's career as a racer is over, that it will come without registration papers and that it will be adopted solely as a house pet?

Yes No

Do you promise to notify Adopt-a-Greyhound immediately should your greyhound be lost or stolen?

Yes No

Do you know what heartworm preventative is?

Yes No

Do you fully agree NEVER to use your greyhound for hunting, racing or laboratory research?

Yes No

Do you have stairs in your home?

Yes No
 

I hereby certify that all the information contained on the 4 pages of this application is true and correct as of this date and will become part of the adoption agreement when I adopt.

Signature

Date

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