Name: Address: City: State: Zip Code: Email: Home Phone: Cell Phone:
What are the occupations of the adults in the household? Work Hours: to Work Phone: Referred by:
What are ages and sex of children? Are there children who visit on a regular basis? Yes No
Do you own or rent your home? Own Rent Type of Dwelling: Single Duplex Apartment Farm Is anyone home during the day? Yes No At night? Yes No
Is anyone in the home allergic to dogs? Yes No Have you ever owned a dog before? Yes No A greyhound? Yes No How do other family members feel about adopting a greyhound?
Are you making this application to apply for a specific dog? Yes No If Yes, Please select the dog from our list: None Specific Cruisin Past You (Cruise) WW Flight Status (Status) Majestic Prince (Prince) Fig Fin Amazing (Fin) WW Chest Match (Chester) DKC Wide Open (Ryder) Atom Crusher (Crusher) Johnny Corvette (Corvette) AR Five and Dime (Nicky) Flying Insomnia (Sara) WW Orbitz Cannon (Cannon) Rico’s Focus (Sandy)
Do you presently own any other animals? Yes No Type & Breed: Sex: M F Is this animal altered? Yes No How long have you owned this animal?
Why do you want to adopt a greyhound?
Do you have a fenced area or yard for the dog? Yes No If yes, type of fence and approx. dimensions (length, width, height): Do you have a doggie door? Yes No If not, what arrangements will you have for the dog's exercise and toilet duties?
Many adoptive greyhounds come from unknown circumstances. Even if they are normally well-behaved greyhounds, most have a couple accidents in the house during the adjustment period and some also might chew furniture or other items left within reach. This is a very important reality with adopting. How do you feel about this?
Are you willing to house train a dog if necessary? Yes No Where will the dog be kept during the day? At night? When you are away from home?
Are you established with a vet? Yes No Name: May we contact him/her for a reference? Yes No Phone:
May we have a personal reference (preferably someone who owns a dog)? Phone:
Racing Home Greyhound Adoption routinely arranges a home visit with all new adoptive homes. The goal is not to check for cleanliness or housekeeping, but to make sure that the home is or could be compatible with the lifestyle of a greyhound. The yard is checked to make sure it is securely fenced, the sleeping area for the greyhound is inspected, and toilet duties for the greyhound are discussed.
Are you willing to have a home visit prior to adopting? Yes No
All the information I have provided on this application is, to the best of my knowledge, true and complete. I understand that falsifying answers on this application, or at any other time during the approval process disqualifies me from adopting.
Date: Signature:
Please print and return this application, along with the $25.00 application fee, to:
OR