On-Line Application

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Please answer ALL of the following questions!

  Personal Information
Name:                                 
Address:                             
City:                                           State:      Zip:
How long have you lived at this address:      At your prior address: 
Home Phone:                             Business Phone:
Cell Phone:                 Email:         
Occupations:           
Do you live in a:         Do you:                       
Applicants age:        
Name of Spouse or Significant other (If living with you):
Age of Spouse/Significant Other:
If you rent or lease, do you have permission from your landlord to have a dog?
Landlords name:   Phone Number:
 
  Agreement / Questionnairee
Do you have any preferences regarding age, sex, or color? (or a specific dog you have seen)
Do you have other pets?                                
If yes, please indicate how many and what type, sex, age:
 
Are they altered?
Have you ever given up a pet to a humane society, pound, other organization, or person:            
If yes, please give reason(s)
Primary caretaker of your new greyhound:                               
How many hours a day will your greyhound be home alone?                               
Do you have a fenced yard?                               
If yes what type, size, height:

If no, are you willing/able to provide on-leash walks with your new Greyhound frequently, at least 4 times daily?                               
Are you aware of the importance of keeping your Greyhound on a lead when not in an enclosed area??
Greyhounds must live inside the home.  They can not be kept in an outdoor kennel or dog house.
Do you agree to keep your Greyhound inside your home?                               
Describe the area in which you live (i.e. city, suburban, country, high-traffic, etc.)
Do you have children living in the home?                                
If yes, please give their names and ages:

Required reading (if you have or plan on having children):   "Child Proofing Your Dog"
 
Why do you want a Greyhound as a pet?
 
Do all of the adults in this home agree to this adoption?                               

Required reading:  "Adopting the Retired Racing Greyhound" and "Retired Racing Greyhounds for Dummies".
 
Are you willing to keep a collar bearing your name, address, and phone number on your
Greyhound at all times?                               
Are you willing to accept immediate and full responsibility for the ownership of your Greyhound, including all health care costs and necessary burdens of owning a Greyhound?                               
Do you agree to maintain your Greyhound on heartworm preventative?                               

In the interest of the retired Greyhounds we place, part of the adoption procedure includes an application in-home interview.  The purpose of the in-home interview is to be sure that 1. New owners are prepared and able to accept the moral, physical and financial responsibilities involved in owning a Greyhound and 2. We make the right match between owner and pet.

May we conduct an in-home interview?                               

 
  Comments
Please tell us a bit more about your family:
 
How did you hear about Allies for Greyhounds?
 
 
  Veterinary Reference
Name:    
Address:
City:           State:   Zip:
Phone Number:   Email Address:

 
 
  Personal References
Give 2 personal references not related to you that we can contact that you have known for at least 2 years
Reference 1
Name:                          
Address:
City:           State:   Zip:
Phone Number:                                  Email Address:
Reference 2
Name:                          
Address:
City:           State:   Zip:
Phone Number:                                  Email Address:
 
 

In submitting this web form, you certify that all information on this application is true and correct and that you are granting permission for Allies for Greyhounds to contact your veterinarian, landlord, and personal references.