How
did you hear about our organization?
Have you spoken to or
contacted any other greyhound adoption agencies regarding greyhound adoption?
If so, please tell us when and which group(s) you talked with:
Why do you want
to adopt a retired racing Greyhound?
The dog I would
prefer would be... Select
No Preference 2 - 3
Years 3 - 4 Years 4
- 5 Years Color:
Select No Preference
Black Blue Blue
Brindle Brindle Fawn
Red White
Sex: Select
No Preference Male
Female
Would
you accept a substitute? Select
Yes No
What
research have you done on retired racing Greyhounds?
Special
needs greyhounds have their own unique characteristics that make finding a home
for them more difficult than the other greyhounds awaiting adoption. Some of them
might be extremely shy or timid, some may be permanently affected by injury, others
may need special medications or veterinary care, while others are just older than
most people are willing to adopt. In any event, these special greyhounds make
wonderful companions and are looking for their forever homes with families who
will accept them as they are or help them overcome any disabilities they may have,
if possible.
Please
list the type, age, sex, size and breed of any other pets that will be living
in the home with the Greyhound:
Are your current
pets spayed and/or neutered?
Select YES NO
Are
your current pets current on vaccinations?
Select YES NO
Do you keep your
dogs on heartworm preventative?
Select YES NO
If so, what brand do
you use?
Where do your
current pets spend their days?
Where are they
at night?
What pets have you had in the past?
Why are they
no longer with you?
How many children
are in your home? Select
None 1 2
3 4 5
6 7 8
9 10 11
12 13 14
15 More than 15
Their
ages:
How
many adults are in your household?
Select 1 2
3 4 5
6 7 8
More than 8
Their
work hours:
What
is the activity level of your household?
Select Low Average
High
Does
your family anticipate any major lifestyle changes in the next year?
What type of
home do you have? Select
Single Family Townhouse
Condo/Apartment
Do
you own your home or do you rent? Select
Own Rent
If you are renting or living in a condominium/apartment, you must
provide a copy of your lease and/or written permission from your landlord granting
you the right to have a dog over 50 pounds.
Do
you have a completely fenced-in yard, or is there any part of your yard that is
completely fenced-in? Select
Yes No
If
"Yes", please describe the type of fencing, height, and approximate size of the
fenced area:
Is there a safe
area nearby where you can take your Greyhound for long walks once or twice a week?
If you move,
what will you do with your Greyhound?
Are there stairs
in or around your home that your Greyhound will have to go up and down?
Select Yes No
If "Yes", please describe:
All families
will be required to obtain a crate for their new Greyhound. Would you agree
to purchase, rent or borrow a crate for your Greyhound's safety and protection
when you are not at home?
Select Yes No
Undecided
Please
describe the importance of keeping a retired racing Greyhound on a lead when outdoors
in an unfenced area:
Please describe
your feelings about tying or chaining a dog outside:
Please describe
the importance of keeping a Greyhound as a house pet:
Are you willing
and able to take your Greyhound outside to relieve itself 4-6 times a day?
Select Unsure Yes
No
What
would be the earliest date that you would wish to accept a Greyhound?
Please
list the best time of day we may contact you to discuss this adoption at length:
Please
tell us anything about yourself that you feel might help us in placing a Greyhound
in your home:
Are you agreeable
to a home visit prior to adoption and a later follow-up visit?
Select Yes No
Please
list your veterinarian's name, address, and phone number:
Is your veterinarian
familiar with the unique characteristics of treating a Greyhound or other sighthound?
Select
Yes No Please explain:
