Date:
Applicants Name:
Co Applicants Name:
Address:
City: State: ZIP:
Home Phone: Work Phone: Cell Phone:
Occupation:
Email:
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: We cannot reserve more than one dog for a particular family/application.
Are you willing to crate your dog when it is alone? Yes: No:
Is your area fenced? Yes: No:
If yes, what kind of fence?
How high?
Do you intend to keep your dog in the house? Yes: No:
Are there stairs in your home? Yes: No:
Are you willing and able to walk or let your dog outside to relieve him/herself 4 to 6 times a day ? Yes: No:
From time to time we have a dog that is injured, having a broken bone or dropped muscles.
Yes:
Would you be willing to consider adopting an injured dog? No:
Do you agree to keep a collar bearing identification on your Greyhound at all times?
Yes: No:
Do you agree to notify American Greyhound if for any reason you find that you cannot keep your Greyhound American Greyhound consent?
Yes: No:
Do you live in a: House Apartment: Mobile Home: Condominium: Do you: own: Rent:
If you rent, do you have permission from your landlord to have a dog? Yes: No:
Landlord's Name:
Landlord's phone number:
Landlord's Email:
Will this be your first pet ? Yes No
If you currently own pets, what type are they?
None
Dog Breed (s)
Dog Name(s)
Cat Cat Name(s)
Other
What type of pets did you previously own? Dog Cat Other
None
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
If yes, why?
Do you currently have a veterinarian? Yes No
If yes, please provide name and address:
Phone number: Fax:
Your veterinarian's email address:
Veterinarians Web site:
Are you willing to accept immediate and full
Yes No
Do you agree to give your pet heart worm preventative? Yes No
Are your present pets on heart worm preventative? Yes No
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?
Are all members of the household in TOTAL AGREEMENT about adopting a Greyhound? Yes No
If any member of the household has animal related allergies, please list them here:
Please list two references here with Name, address and phone number for each:
If for any reason you are unable to continue to foster your greyhound, do you agree to return to American Greyhound ? Yes No
For what reason, if any, would you return this animal? (check all that would apply)
Aggressiveness
Chewing Nipping Jumping Allergies Barking
Moving Loss of interest Not enough time Other
Are you willing to provide American Greyhound with follow up reports? Yes No
Our adoption fee of $195.00 includes spay/neutering, vaccinations, teeth cleaning, micro chipping and checking for heart worm and other
By submitting this form, I hereby certify that all the information contained on this Greyhound adoption application is true and correct.
I give permission to to release any veterinarian information on my pets to
(list your veterinarian office here)
representatives of American Greyhound .
We reserve the right to refuse or deny any application.
