ADOPTION APPLICATION
Please complete this application in its entirety. If you have any questions, contact Liz Robson at applications@gpa-sc.com.
Contact Information (* fields are required)
First Name: *
Your answer
Last Name: *
Your answer
Email: *
Your answer
Mailing Address: *
Permanent or Residence Street Address (No P.O. Boxes)
Your answer
City: *
Your answer
State: *
Required
Postal (Zip) Code: *
Your answer
Home Phone Number: *
Please include your area code.
Your answer
Work Phone Number:
Your answer
Mobile Phone Number:
Your answer
Best Time to Contact You:
Family Information
Your Age:
Your answer
Occupation:
Your answer
Are You Married?
Spouse's Name:
Your answer
Occupation:
Your answer
Do You have children currently living with you?
Do you have children or grandchildren who visit you regularly?
Child 1:
Age
Your answer
Gender:
Age
Child 2:
Age
Your answer
Gender:
Age
Child 3:
Age
Your answer
Gender:
Age
Child 4:
Age
Your answer
Gender:
Age
Child 5:
Age
Your answer
Gender:
Age
Are there any other persons living with you in your home?
If Yes, describe:
Your answer
Does anyone in your family have allergies?
Are all persons who live in your home in support of you adopting a greyhound?
If No, describe:
Your answer
Home Environment
Home:
Number of Years:
Your answer
If you rent / lease your home, do you have permission from your landlord to have a large, inside dog?
Landlord's Name:
Your answer
Telephone Number:
Your answer
Type of Residence:
Your answer
Do you have a fenced yard?
Type of Fence:
Your answer
Height of Fence:
In Feet
Your answer
Approximate length and width of fenced area
(L x W) In Feet
Your answer
Do you have locks on your gates?
If No, are you willing to add locks?
If your yard is not fenced, are you willing to erect a fence?
**Please understand for the greyhound's safety, families with children 6 and younger, you must have a fenced yard attached to the house with a door that opens directly from the house into the fenced yard**.
Do you currently have pets?
If Yes, number of dogs:
Your answer
If Yes, number of cats:
Your answer
Other pets, please describe:
Your answer
Please identify other dogs:
Breed
Your answer
Age:
Your answer
Gender:
Age
Please identify other dogs:
Breed
Your answer
Age:
Your answer
Gender:
Age
Please identify other dogs:
Breed
Your answer
Age:
Your answer
Gender:
Age
Please identify other dogs:
Breed
Your answer
Age:
Your answer
Gender:
Age
Are your pets on heartworm preventative?
Are your pets on flea control?
Is your dog(s) spayed or neutered?
What other pets have you had in the past and what happened to them?
Your answer
Do you have any animals that visit your home on a regular basis?
If Yes, please describe:
Your answer
Describe your household:
Check all that apply
References
Veterinarian: *
Name
Your answer
Clinic Name: *
Your answer
Is this your current vet? *
Number of years? *
Your answer
Vets Mailing Address: *
Street
Your answer
City: *
Your answer
State *
Postal (Zip) Code: *
Your answer
Telephone Number: *
Your answer
I hereby authorize the above-named veterinarian torelease any requested information to a representative of GPA-South Carolina. *
Personal Reference:
Years known:
Your answer
Name:
Your answer
Mailing Address:
Street
Your answer
City:
Your answer
State
Postal (Zip) Code:
Your answer
Telephone Number:
Your answer
Greyhound Qualities Desired
Please describe the Greyhound you would like to adopt. Select all that apply.
Gender
Age
Your answer
Personality
Activity Level:
Activities:
What do you consider to be the three most important qualities you are looking for in a Greyhound?
Your answer
Our Greyhounds arrive from the track / farm in fairly good condition, but at times minor track injuries require some rehabilitation or additional medical attention. Are you willing to adopt such a Greyhound?
If Maybe, Explain:
Your answer
Greyhound Care
Who will be resposible for your Greyhound's daily care?
Your answer
Where will your Greyhound sleep?
Your answer
How many hours a day will your Greyhound be left alone?
Your answer
We recommend that potential adopters read Adopting the Racing Greyhound.
Have you read this book?
Are you aware that a Greyhound is an indoor pet and cannot survive as an outdoor animal?
Are you willing to modify your lifestyle if necessary to accommodate a Greyhound's needs and keep it as an inside pet?
Are you willing to walk your Greyhound on a leash 4 to 6 times a day during its adjustment period if necessary?
Are you willing to have your Greyhound immediately under the care of a veterinarian AND assume any medical costs for your Greyhound's care?
Are you willing to place identification on your Greyhound linking it to you within one week of adoption?
Are you willing to notify GPA-SC of any medical emergencies (injuries or illness) and provide copies of treatment records for your Greyhound, if necessary, so we may be aware of any problems?
Will you notify GPA-SC immediately if your Greyhound is lost or stolen, or is deceased?
Will you inform GPA-SC of any changes of address, telephone number, or veterinary care?
General
Why do you want to adopt a Greyhound?
Your answer
How did you hear about Greyhound adoption, and specifically about GPA-South Carolina
Your answer
Comments:
Your answer
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