First name:
Last name:
Spouse name if applicable:
Address: City:
State: Zip Code:
E-mail address:
Home Phone: Work Phone:
Occupation(s):
Employer's Name:
Supervisor's Name: Supervisor's Phone:

How did you hear about GCGA? VISITED WEB SITE NEWSPAPER/OTHER ADVERTISEMENT FRIEND ADOPTED PREVIOUSLY FROM GCGA REFERRED BY OTHER ADOPTION GROUP MEET AND GREET (Please specifiy which one in comments field) OTHER
COMMENTS:

Why do you want to adopt a Greyhound? Note: If additional room is needed, there is a comments section at the end of this form.
If approved, what age range of Greyhound do you prefer: UNDER 2 YRS OLD 2 - 4 YRS OLD 4 - 6 YRS OLD 6 YRS OR OLDER SPECIAL NEEDS GREYHOUND NO PREFERENCE
Gender preference: MALE FEMALE NO PREFERENCE
 

Number of adults in your household: 1 2 3 OR MORE
Age range which best describes you: UNDER 20 YRS OLD 20 - 25 YRS OLD 25 - 30 YRS OLD 30 - 40 YRS OLD 40 - 50 YRS OLD 50 - 60 YRS OLD OVER 60 YRS OLD
Age range which best describes the next adult in your household: NO OTHER ADULTS UNDER 20 YRS OLD 20 - 25 YRS OLD 25 - 30 YRS OLD 30 - 40 YRS OLD 40 - 50 YRS OLD 50 - 60 YRS OLD OVER 60 YRS OLD
Age range which best describes any other adults in your household: NO OTHER ADULTS UNDER 20 YRS OLD 20 - 25 YRS OLD 25 - 30 YRS OLD 30 - 40 YRS OLD 40 - 50 YRS OLD 50 - 60 YRS OLD OVER 60 YRS OLD
Number of children in your household: NO CHILDREN 1 2 3 4 5 OR MORE
Youngest child's age: NO CHILDREN UNDER 1 YR 1 - 2 YRS OLD 2 YRS OLD 3 YRS OLD 4 YRS OLD 5 YRS OLD 6 - 8 YRS OLD 8 - 12 YRS OLD TEENAGER OVER 20 YRS OLD
Oldest child's age who lives in the household: NO CHILDREN ONE CHILD (ANSWERED BEFORE) UNDER 5 YRS OLD 6 - 8 YRS OLD 8 - 12 YRS OLD TEENAGER OVER 20 YRS OLD
How many hours are the adults away from home on a daily basis? UNDER TWO HOURS 2 - 4 HOURS 4 - 6 HOURS 6 - 9 HOURS OVER 9 HOURS PER DAY
Does everyone in the household agree on adopting a Greyhound? YES NO

Do you have cats? YES NO How many cats? NO CATS 1 2 3 OR MORE
What are the cats' ages? NO CATS KITTEN(S) KITTEN(S)AND ADULTS ADULT CAT(S) ONLY SENIOR CAT MIXED AGES
Are your cats indoor or outdoor cats or both? NO CATS INDOOR ONLY OUTDOOR ONLY BOTH INDOOR AND OUTDOOR
Do you currently own other dogs? YES NO How many? NO DOGS 1 2 3 OR MORE
What are the dogs' approximate ages? NO DOGS PUPPY(S) PUPPY(S)AND ADULTS ADULT DOG(S) ONLY SENIOR DOG MIXED AGES
Are your dogs indoor or outdoor dogs or both? NO DOGS INDOOR ONLY OUTDOOR ONLY BOTH INDOOR AND OUTDOOR
What breed are your dogs: What size are your dog(s): NO DOGS UNDER 25lbs. 25 - 50lbs. 50 - 100lbs. MIXED SIZES
How long have you owned these pet(s): NO OTHER PETS PURCHASED AS A PUPPY/KITTEN ADOPTED AS ADULTS BOTH PURCHASED AND ADOPTED
Do you own any other pets? YES NO Species:
What other pets have you owned in the last ten years?
Why are they no longer with you? NO OTHER PETS PASSED AWAY - NATURAL CAUSES RE-HOMED TURNED IN TO THE POUND LOST/STOLEN

Please give us the name of a personal reference (someone not currently residing in your household):
How do they know you?
Reference's phone number:Reference's Street Address:
Reference's City: State: Zip Code:
 

Please give us your current Veterinarian Name :
Vet's address: Vet's phone:

Type of your dwelling: HOUSE CONDOMINIUM TOWNHOUSE APARTMENT MOBILE HOME

How long have you lived at your present address? UNDER 1 YR 1 - 2 YRS 2 - 5 YRS 5 - 10 YRS OVER 10 YRS
Are you renting? YES NO  

If renting do you have your landlord's permission to have a dog over 50lbs? N/A YES NO
Your landlord/complex manager's name:
Phone number where they can be reached:
Do you have a fenced in yard? YES NO If yes, height of fence: N/A 3ft. 4ft. 5ft. 6ft. PRIVACY FENCE 8ft. PRIVACY FENCE

Please Type Yes or No In The Following Questions Below:

If you do not have a fenced in yard, are you willing and able to walk your Greyhound on a leash 3 to 5 times a day to relieve itself?
Do you understand the importance of keeping your Greyhound on a leash at all times when it is outdoors in an unfenced area, and are you willing to always abide by that condition?
Are you willing and able to keep your Greyhound as an inside house pet?
Do you agree to keep a collar bearing identification on your Greyhound at all times?
Do you agree to notify GCGA if for any reason you find that you cannot keep your Greyhound, and do you also agree that you will not give or sell the Greyhound to anyone without the written consent of GCGA?
Please list any additional comments that you would like for us to consider when reviewing your Greyhound adoption application:


By submitting this application, you hereby certify that the above information is true, complete, and correct, and you understand that it will be relied upon by GCGA in considering you for Greyhound adoption. You further understand and agree that this application, if approved, will become part of the adoption agreement with GCGA.

***Please review your answers carefully before submitting. Please allow at least up to 5 days from receipt of application for your follow-up call.***