By answering the following questions, you'll help up find greyhounds for
you
to choose from that
are best suited to your needs, life-style and schedule. You are welcome to
expand on any area or
provide additional information on separate pages. Check here if additional
paper is attached. NOTE: you will need to print this file before you can fill
out the application.
Name(s):
__________________________________________________________
________
Address:
__________________________________________________________
_________
City: _____________________________________ State:
__________ Zip: _____________
Home phone: _______________________ Work phone:
_____________________________
Best time to call you: Home: __________ Work: ___________ ___
Don't call me at work
Your occupation: __________________ Your spouse's occupation:
____________________
1. How did you hear about greyhound adoption? (Please check all that
apply)
__ Through a friend/neighbor __ Newspaper article __
T.V.
__ Classified advertisement __ Veterinarian __ Radio __
Groomer
__ Internet posting __ Magazine __ Book __
Other
__ Other organization (please specify)
___________________________________________
__ Pet supply store (please specify)
_____________________________________________
2. Why do you want to own an ex-racing greyhound?
_______________________________
_______________________________________________________
___________________
3. Where will your greyhound sleep at night?
______________________________________
4. Where will your greyhound be during the day or when you are not at
home? ___________
_______________________________________________________
___________________
5. Do you currently have any other pets? __ Yes __ No
If yes, please specify what kind and their ages.
____________________________________
_______________________________________________________
__________________
_______________________________________________________
__________________
6. Are the above mentioned animals house pets or do they live strictly
outdoors? __________
_______________________________________________________
__________________
7. Have you owned dogs previously? __ Yes __ No
If yes, please give details such as size and breed.
__________________________________
_______________________________________________________
__________________
8. Where are the pets today?
__ Died of natural causes __ Killed in accident (such as hit by a car)
__ Returned to adoption agency or shelter __ Sold __
Lost/stolen
__ Put to sleep due to illness __ Gave away
__ Other: _______________________________________
9. If you rent or lease, do you have permission from your landlord to
have
a large dog?
__ Yes __ No
You may be asked to provide your landlord's phone number. Is this a
problem?
__ Yes __ No
10. Do you live in a: __ Single family home __ Apartment
__Condominium
__ Mobile home __ Other (please specify)
____________________________________
11. If you have a completely fenced-in yard, approximately how tall is
your fence?
__ less than 3 ft. __ 3-4 ft. __ 4-5 ft. __ 5-6 ft. __ No fence
12. If you have no fence, are you willing and able to take your
greyhound
outside on a leash
several times a day to relieve itself? __ Yes __ No
13. After you adopt, will you be willing to answer an occasional
questionnaire about your new
dog? __ Yes __ No
14. On a scale of 1 to 5 (5 being highest), rate yourself:
__ 1 ____________ 2 _______________ 3 ________________ 4
__________________ 5
Not very dog-experienced
<---------------------------------------->
Extremely dog-knowledgeable
15. Do you currently have a veterinarian? __ Yes __ No
If yes, please list your vet's name, address, and phone number:
_______________________
_______________________________________________________
___________________
_______________________________________________________
___________________
This application, if approved, will become part of the greyhound
adoption agreement.
I certify that all statements made by me on this application are true
and
correct. I have read and
agree to abide by the nine Adoption Requirements. If I qualify and receive a
greyhound from GPA-
OC/GLA, I will accept full responsibility for the greyhound.
I also understand that to complete the processing of this application, a
visit to my home will be
scheduled by a local representative of the adoption program. By submitting
this application I agree
to such a scheduled visit. I certify that all information provided by me on
this application is true
and correct.
Signature: __________________________________________ Date:
__________________
Send the application to:
Greyhound Pets of America OC/GLA
c/o Joyce McRorie
9642 Bay Meadow Dr.
Huntington Beach, CA 92646
(714) 962-0789