GREYHOUND PETS OF AMERICA, FLORIDA - SOUTHEAST COAST
226 SE First Avenue Boynton Beach, FL 33435 Phone: 561-737-1941 Fax: 561-737-2349

* indicates required fields 
  Date:
  *Name:
  Domestic Partner Name:
  *Address:
  *City, State, Zip:
  Occupation:
  Home Phone:
  Cell Phone:
  Work Phone:
  Email Address:
  Why do you want to adopt a greyhound?:
  Preferred characteristics(Personality, Sex, Size):
  How did you learn about Greyhound Pets of America?:
  Number of Adults in your home:
  Number of Children in your home:
  Ages of Children:
  Family members with special needs (wheelchair,etc):  Yes
 No
  Where do you live?:  House
 Apartment
 Condominium
 Mobile Home
  Do you own or rent?:  Own
 Rent
  How many years at your present address?:
  Any Homeowner/Condo rules that apply to pets?:  Yes
 No
  If yes, please explain:
  Number of hours a day the greyhound would be alone:
  Do you have a fenced yard?:  Yes
 No
  If yes, what type of fence and what is the height?:
  If in an unfenced area will dog be kept on leash?:  Yes
 No
  Do you intend to keep your greyhound IN the house?:  Yes
 No
  Do you have a swimming pool?:  Yes
 No
  Does your home have stairs?:  Yes
 No
  Are you willing to walk your dog 4-6 times daily?:  Yes
 No
  Do all household members agree with this adoption?:  Yes
 No
  May a GPA representative visit your home?:  Yes
 No
  Do you currently own any pets?:  Yes
 No
  If yes, please list the type, breed, sex, and age:
  Have you ever previously owned a dog?:  Yes
 No
  If yes, what breed(s):
  How was the dog obtained?:
  What became of the dog(s)?:
  Do you have a veterinarian?:  Yes
 No
  If yes, please list Vet's name, address, & phone #:

I certify that all of the information provided on this adoption application is true and correct.
 

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