PO Box 63 Grandville, MI  49468-0063 (866) 929-DOGS                  (3 6 4 7)
	Application for Adoption

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: ___________________________,  ____________________________  Applicants Age:  _______ Name of Spouse or significant other (If living with you): _______________________________________________________________ Age of Spouse/Significant Other:  _______ Do you live in a (circle one): Single Family Home / Mobile Home / Apartment / Condominium Do you: Own / Rent If you rent or lease, do you have permission from your landlord to have a dog? Yes / No 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? Yes / No If yes, please indicate how many and what type, age, sex: _________________________________ _____________________________________________________________________________ Are they altered?  _______________________________________________________________ Have you ever return a pet to a humane society, pound, or other animal shelter? Yes / No 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? Yes / No 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? Yes / No Are you aware of the importance of keeping your Greyhound on a lead when not in an enclosed area? Yes / No 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? Yes / No Describe the area in which you live (i.e. city, suburban, country, high-traffic, etc.) ________________ _____________________________________________________________________________ Do you have children living at home? Yes / No 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 on this adoption? Yes / No Required reading: "Adopting the 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? Yes / No Are you willing to accept immediate and full responsibility for the ownership of your Greyhound, including all heath care costs and necessary burdens of owning a Greyhound? Yes / No Do you agree to maintain your Greyhound on heartworm preventative? Yes / No 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? Yes / No

		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 Reference 1 Name: ________________________________________________________________ Address: ______________________________________________________________ City: _______________________________________ State: ____ Zip: _____________ Phone Number: ___________________ Email Address: _________________________ Reference 2 Name: ________________________________________________________________ Address: ______________________________________________________________ City: _______________________________________ State: ____ Zip: _____________ Phone Number: ___________________ Email Address: _________________________

		By signing this application, 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.   Signature: __________________________________________ Date: ______________

Please mail to: 

Allies for Greyhounds of West Michigan, Inc
PO Box 63
Grandville, MI 49468-0063