Name:
Street Address:
City:
State:
Choose your state:
Alabama
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District of Columbia (D.C.)
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Yukon Territory
Zip:
Phone Number:
Email:
Alternate/Emergency Contact:
What is the best method and time of day to reach you?:
Have you researched Greyhounds and what is involved in adopting a retired racing greyhound?:
Please choose one:
Yes I have.
No I have not.
Have you applied to any other adoption groups?
Pick one
Yes
No
Why do you want to adopt a Greyhound?
Is your household:
Please make a selection:
Busy
Average
Quiet
Number of Children in the household:
Please pick the response that best fits you:
0 Children
1 Child
2 Children
3 Children
4 Children
5 Children
6 or more Children
Their Ages if applicable:
Have the children been taught about the responsibility of owning and caring for a dog?
Please choose one:
Yes my children have been.
No my children have not.
Where will the greyhound sleep during the day?
Night?
Who will be primarily responsible for the care and training of the greyhound?:
Are all family members in agreement with adopting a greyhound?
Please make a selection:
Yes all family members agree
No, not all family members agree.
Do you or anyone in your home have any special needs or animal allergies?
Do you live in a:
Please choose a selection
House
Apartment
Mobile Home
Condominium
If you rent, do you have permission from the landlord/condo association/mobile home park to have a dog:
Pick One:
Yes
No
Contacts Name:
Contact Number:
Do you have a fenced yard?
Please Choose One:
Yes
No
If not, are you committed to walking the dog daily?
Please choose one:
Yes
No
Type and height of fence:
Number of gates:
Are gates locked?
Choose one
Yes
No
I don’t have a fence ~ N/A
If no, are you willing to put locks on?
Choose one
Yes
No
I don’t have a fence ~ N/A
NOTE: A fenced yard is required for homes with children under 2 years old.
Team Greyhound does not adopt to homes with invisible fence.
What other pets do you have?
Do you have cats?
Please choose one:
Yes I do.
No I dont.
If yes, do they live?:
Please choose a selection:
Indoors
Outdoors
I do not have cats - N/A
Have you previously had pets:
Please choose a selection:
Yes I have.
No I have not.
Reason for death or leaving?
Does your home have stairs that the Greyhound will have to climb?:
Please make a selection
Yes it does.
No it does not.
Do you travel frequently?
Please make a selection
Yes I do.
No I do not.
If so, who will care for the greyhound?:
How many hours per day will the greyhound be alone?:
Where did you hear about Team Greyhound Adoption of Ohio?
Is there a particular dog you are interested in? List preferences in order: (Dog’s Name)
1.
2.
3.
4.
Due to a variety of factors such as multiple requests for the same dog, incompatibility, etc., we can not guarantee adoption of requested greyhound. Placement is at the discretion of Team Greyhound.
Do you have a preference for gender?
Please make a selection:
Male
Female
No Preference
Sometimes, dogs with special needs (physical restrictions, unusual personality or senior dog) are available for adoption. Would you be interested in being considered for a special needs dog?:
Please make a selection:
Yes I wish to be considered.
No I do not wish to be considered.
I really have no preference.
Would you be interested in adopting a senior dog (age 8 or over)?
Please make a selection:
Yes I would be interested
No I would not be interested
I really have no preference
THINGS YOU NEED TO KNOW BEFORE ADOPTING A GREYHOUND.INCONSIDERATION OF THIS APPLICATION I/WE AGREE TO THE FOLLOWING:
Please check each box if you agree.
I/we will keep the greyhound on a leash or in a securely fenced area at all times.
I/we understand and agree that the greyhound cannot be tied out on a leash or chain.
I/we will provide indoor living quarters for the greyhound.
If necessary, I/we agree to crate the greyhound as recommended
I/we agree to assume responsibility for the health and well-being of a retired racing greyhound and will provide food and regular veterinary care, including heart worm preventative, annual shots, and dental care.
I/we understand and agree that the adoption of a greyhound will require a pre-placement home visit and subsequent follow-up checks.
I/we understand that greyhounds live 12 to 15 years and are willing to commit to caring for the dog for this period of time.
I/we understand and agree that if for any reason I/we cannot keep the greyhound, it will be returned to Team Greyhound Adoption of Ohio, Inc.
I/we understand and agree that if I/we put down a non-refundable deposit to hold a dog(s) and I choose not to adopt the specific dog(s) for which the deposit was intended, I forfeit the deposit.
I/we understand and agree to pay a $225.00 ($150.00 for senior dog) non-refundable fee at the time of adoption.
I/we understand that we may be required to travel a reasonable distance to pick up our dog.
REFERENCES
Provide the names, phone numbers and email of three references,not related to you who can attest to your ability to care for a dog Family members are not considered valid references. All three references must be submitted before we can process your application.
1.Name
Phone
Email
2.Name
Phone
Email
3.Name
Phone
Email
Please provide name and # of Veterinarian(s) for any pet(s) LIVING or DECEASED.
Name of Veterinarian
Phone Number:
Other Veterinarian:
Phone Number:
Owner’s name and pet’s name (s) under which your records are kept:
After completely
filling out the above form, simply click Submit and your application will be
sent for processing. If you do not receive an
email within 24 hours stating that your application was received, please contact Wendy Simon .