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NAME ___________(( sample ))______ DATE _________________
ADDRESS ____________________________________________________
CITY ___________________ STATE _______ ZIP ______________
HOME PHONE ________________ BUSINESS PHONE _________________
OCCUPATION _________________________________________________
WHERE DID YOU LEARN ABOUT US? ______________________________
1. Why do you want a Greyhound as a pet? __________________
________________________________________________________
2. Do you have any preference regarding age, sex or color?
________________________________________________________
3. What other pets do you have? ___________________________
________________________________________________________
4. Number of adults in your household and ages: ___________
5. Number of children and their ages: _____________________
6. Do you have a fenced in yard? _______ What size? ______
Fence height? _____ If not, is there a fenced in area
nearby where you can regularly exercise your Greyhound?
Describe that area and its size: _______________________
________________________________________________________
You can not ever put your Greyhound on a chain run.
It can literally break its neck.
7. Approximately how many hours a day will your Greyhound
be home alone? ____
8. Describe the area in which you live: ___________________
City: __________ Suburban: _________ Rural: ____________
9. Do you live in a: House _______________ Apartment /
Condo ________ Townhouse ________ Mobile Home __________
10. If you rent or lease, do you have permission from your
landlord to have a dog? ________________________________
11. Landlord's Name: _______________________________________
Phone Number: __________________________________________
12. Who will be responsible for the care and training of
your new Greyhound? ___________________________________
13. Are you willing and able to leash-walk your Greyhound
for necessary functions at least three times day?
________________________________________________________
14. Are you aware of the importance of keeping your
Greyhound on a leash? _____
15. Greyhounds MUST live within the home. They can not
adequately be kept in an outdoor kennel or dog house.
Do you agree to keep your new pet inside your house?
________________________________________________________
16. Is there a legal ordinance in your area pertaining to
owning / housing an animal (i.e. leash laws, required
vaccinations or dog licenses, etc.)?
________________________________________________________
17. Are you willing to keep a collar with a tag bearing your
name, address and phone number on your Greyhound at all
times? _____________________________
18. If, for any reason, you are unable to keep your
Greyhound, will you agree to return it to this adoption
service? ___________________________________
19. Are you willing to accept immediate and full
responsibility for the owner-ship of your Greyhound,
including all health care costs and necessary burdens
and responsibilities of owning a pet? __________________
20. Did you have other pets in your home previously? Please
name breed, name, and years in your household:
________________________________________________________
21. Do you agree to give your pet heartworm preventative?
____________________
22. Will you keep your Greyhound as a pet and agree not to
race, breed, or hunt with this animal? _________________
REFERENCES
Veterinarian's Name: _______________________________________
Address: ___________________________________________________
City: _________________________ State: _______ZIP: _________
Phone Number: ______________________________________________
Please list two references that you have known for more than two years:
If you do not have a vet, list 3 references. At least one of your references should be a neighbor.
Name: ___________________________________________________
Address: ___________________________________________________
City: _________________________ State: _______ZIP: _________
Phone Number: ______________________________________________
Name: ___________________________________________________
Address: ___________________________________________________
City: _________________________ State: _______ZIP: _________
Phone Number: ______________________________________________
Name: ___________________________________________________
Address: ___________________________________________________
City: _________________________ State: _______ZIP: _________
Phone Number: ______________________________________________
I certify that the information on the Greyhound Adoption Application is true and correct.
Signature ________(( sample ))_______ Date: ________________
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