Adoption Application ::

Contact Information

*Application Name

Co Applicants Name

Address

City

Zip Code

*Home Phone

Work Phone

Cell Phone

Occupation

*Email Address

Greyhound

Will this be your first pet?

Yes
No
No answer

How did you find out about American Greyhound?

What characteristics do you desire in a Greyhound?

If you are interested in a particular dog, please indicate dogs name here.

Are you willing to crate your dog when it is alone?

Yes
No
No answer

Are there stairs in your home?

Yes
No
No answer

Are you willing and able to walk or let your dog outside to relieve him/herself 4 to 6 times a day?

Yes
No
No answer

Would you be willing to consider adopting an injured dog?

Yes
No
No answer

From time to time we have a dog that is injured, having a broken bone or dropped muscles.

Do you agree to keep a collar bearing identification on your Greyhound at all times?

Yes
No
No answer

Do you agree to notify American Greyhound if for any reason you find that you cannot keep your Greyhound and further agree that you will NOT give away or sell the Greyhound without American Greyhound consent?

Yes
No
No answer

Environment

Do you intend to keep your dog in the house?

Yes
No
No answer

Is your area fenced?

Yes
No
No answer

Do you live in a?
Choose one of the following answers

House
Apartment
Mobile Home
Condominium
No answer

Do You Rent?

Yes
No
No answer

Other Pets

Do you Have Other Pets?

Check any that apply

None
Dog
Cat
Other:

Are your present pets on heart worm preventative?

Yes
No
No answer

What type of pets did you previously own?

Check any that apply

None
Dog
Cat
Other
Other:

What happened to them?

What was the name of your veterinarian then?

Phone Number

Have you ever given a pet to a Humane Society or Animal Control Facility?

Yes
No
No answer

Do you currently have a veterinarian?

Yes
No
No answer

Name

Phone Number

Family

Number of adults in the household and the hours they are home:

Number of children in the household and their ages:

Are there children who visit frequently ie: grandchildren, baby sitting?
If so, what are the ages and how often are they in the home?

Are all members of the household in TOTAL AGREEMENT about adopting a Greyhound?

Yes
No
No answer

If any member of the household has animal related allergies, please list them here:

References
If you do not have a vet as a reference, please list two additional references.
(only one may be a relative).

Reference #1

Please List Name, Address, and Phone Number

Reference #2

Please List Name, Address, and Phone Number

Reference #3

Please List Name, Address, and Phone Number

Reference #4

Please List Name, Address, and Phone Number

Agreements

Are you willing to accept immediate and full responsibility for the ownership of your Greyhound, including all health care costs and necessary burdens and responsibilities of owning a pet?

Yes
No
No answer

*Do you agree to give your pet heart worm preventative?

If for any reason you are unable to continue to care for your greyhound, do you agree to return to American Greyhound?

Yes
No
No answer

For what reason, if any, would you return this animal? (check all that would apply)
Check any that apply

Chewing
Nipping
Jumping
Allergies
Barking
Aggressiveness
Moving
Loss Of Interest
Not Enough Time
Other:

Are you willing to provide American Greyhound with follow up reports?

Yes
No
No answer

I give permission to (veterinarian office listed below) to release veterinarian information about my pets to representatives of American Greyhound.

Agreement Page
Our adoption fee of $195.00 or $300 for SCAL includes spay/neutering, vaccinations, teeth cleaning, micro chipping and checking for heart worm and other parasites. We cannot guarantee the dog will be parasite free and suggest the new owner make an appointment with their veterinarian to have the dog thoroughly examined at the owners expense. The adoption fee is non-refundable.

We reserve the right to refuse or deny any application.

*I hereby certify that all the information contained on this adoption application is true and correct. I understand that completing this application does not guarantee an adoption.