Before we start (ALL four questions must be answered):
1. Are you "just looking"
or ready to adopt
Interested in a particular dog from our website? If so, which
one?
2. Do you understand
and agree that your greyhound MUST live inside?
Yes
No
3. The average cost of maintaining
a greyhound (food, vaccines, heartworm preventive, fleas and
tick preventive. dental cleaning and other costs) is $75/month.
Greyhounds can live for 12-15 years. Are you able to financially
assume immediate and full responsibility for the care of the
greyhound you have chosen to adopt, for its lifetime?
Yes
No
4. Do you understand and agree
that false statements made on this form will disqualify me
from adopting a greyhound through the Triangle Greyhound Society,
and if a false statement is made on this form it will be cause
for nullifying any subsequent agreements between me and the
Triangle Greyhound Society. Select one of the following:
Yes
No
About you and your situation (Items in red
must be completed. Use N/A if not applicable. )
Your Full
Name:
Occupation:
Spouse/Signifi-
cant Other Full Name:
Occupation:
Your Address:
Apartment No.:
City:
State:
ZIP:
Best time to call:
Phone (w/area
code):
(N/A if none)
Cell (w/area code):
Work Phone
(w/area code) - N/A if none:
OK to call you at work?
Yes
No
Your Email:
What is
your daily schedule like? How much time can you commit to
spend with this pet?
List all
children living with you, their ages, and experience with
dogs
Name
Age
Experience with dogs
Does anyone
in your family have allergies or other health conditions that
could interfere with providing proper care for a greyhound?:
Yes
No
If Yes, please explain:
What experience
do you have with dogs?
Why have
you chosen a greyhound to adopt?
Who will
be primarily responsible for the care and training of this
dog?
How much
travel does your work entail?
Your home:
Pick One
Rent
Own
Type of residence:
Pick One
Single family
Apartment 1BR
Apartment 2/3BR
Other multi-family
Condominium
Mobile Home
Other (Specify)
If type="Other" specify:
Approval:
If rental or condominium
home , approval of the landlord or condominium association
is required prior to adoption. Provide
Name:
Address:
Phone:
Your yard :
Do you have a fenced-in yard?
Choose One
Yes
No
If Yes , please describe type, size, and area:
If No , are you willing to leash-walk your greyhound
every day 2-3 times a day for necessary functions and exercise?
Choose One
Yes
No
List ALL other pets in
your household. For each, please provide the requested information
Species
(Breed, if canine)
Characteristics. Answer
ALL for each pet, please.
Age:
Temperament?
Aggressive
Dominant
Easy-going
Submissive
Gender?
Male
Female
Altered?
Yes
No
Primarily Kept?
Inside
Outside
Heartworm Prevention?
Yes
No
Vaccinated?
Yes
No
Age:
Temperament?
Aggressive
Dominant
Easy-going
Submissive
Gender?
Male
Female
Altered?
Yes
No
Primarily Kept?
Inside
Outside
Heartworm Prevention?
Yes
No
Vaccinated?
Yes
No
Age:
Temperament?
Aggressive
Dominant
Easy-going
Submissive
Gender?
Male
Female
Altered?
Yes
No
Primarily Kept?
Inside
Outside
Heartworm Prevention?
Yes
No
Vaccinated?
Yes
No
Age:
Temperament?
Aggressive
Dominant
Easy-going
Submissive
Gender?
Male
Female
Altered?
Yes
No
Primarily Kept?
Inside
Outside
Heartworm Prevention?
Yes
No
Vaccinated?
Yes
No
Age:
Temperament?
Aggressive
Dominant
Easy-going
Submissive
Gender?
Male
Female
Altered?
Yes
No
Primarily Kept?
Inside
Outside
Heartworm Prevention?
Yes
No
Vaccinated?
Yes
No
List ALL
other pets. "N/A" if none.
Be specific.
What became
of ALL the pets you have owned over the past 10 years?
Be specific.
Mark all
reasons you would consider valid for relinquishing ownership
of a dog. Be specific.
Barking
Chewing
Digging
Biting
Expense
Moving
Whining, Crying
Housebreaking problems
Destructive behavior
Too rough with children
Major lifestyle changes
Please explain:
References
Your veterinarian's
name, clinic, and telephone number. Please explain if "N/A".
Name:
Clinic:
Phone (with area code):
List the names and phone
numbers (with area codes) of three people, at least two of
whom are not related to you, who can be contacted as personal
references for you.
Reference
1:
Name:
Phone:
Reference
2:
Name:
Phone:
Reference
3:
Name:
Phone:
Are you
now, or have you been a volunteer supporting greyhound rescue?
If so, please provide details (when, where)
Check if you have been a volunteer:
and give details below:
Do you now
have, or have you ever adopted a greyhound?
Check if you have or had a greyhound:
and give details below:
Have you
worked with any other animal welfare organization in the past
6 months in pursuit of adopting a greyhound or other pet?
Check if yes
and give details below:
Would you
consider adopting an older (7+) or special needs greyhound?
Choose One
Yes
Maybe
No
I certify that all answers provided by me in this application
are true, correct, and complete.
I agree to abide by the requirements set forth in the adoption
contract.
I authorize the Triangle Greyhound Society to investigate
the answers herein.
I understand that my application depends on the completion
of that investigation.
By clicking the "Send Application"
button below I am affixing my electronic signature to this
document on behalf of myself and others in my family who have
an interest in this adoption. Check
here to indicate that you understand and agree: