Greyhound Pet Adoption
Adoption Application

* indicates required fields
  * Name:
  Domestic Partner Name:
  * Address:
  * City:
  * State:
  * Zip:
  * Cell Phone:
  Home Phone:
  Work Phone:
  * Email Address:
  * Why do you want to adopt a greyhound?
  * Preferred characteristics (Personality, Sex, Size):
  * How did you learn about Greyhound Pet Adoption?
  * Number of Adults in your home:
  * Number of Children in your home:
  Ages of Children:
  * Family members with special needs (wheelchair, etc.):  Yes
  * Home Type:  House
 Mobile Home
  * Do you own or rent?  Own
  * How many years at your present address?
  * Any Homeowner/Condo rules that apply to pets?  Yes
  If yes, please explain:
  * Number of hours a day the greyhound would be alone:
  * Do you have a fenced yard?  Yes
  If yes, what type of fence and what is the height?
  * If in an unfenced area, will dog be kept on leash?  Yes
  * Do you intend to keep your greyhound IN the house?  Yes
  * Do you have a swimming pool?  Yes
  * Does your home have stairs?  Yes
  * If you don’t have a fenced in yard, are you willing to walk your dog 4 times daily?  Yes
  * Do all household members agree with this adoption?  Yes
  * May a GPA representative visit your home?  Yes
  * Do you currently own any pets?  Yes
  If yes, please list the type, breed, sex, and age:
  * Have you ever previously owned a dog?  Yes
  If yes, what breed(s):
  How was the dog obtained?
  What became of the dog(s)?
  * Do you have a veterinarian?  Yes
  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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