Going Home Greyhounds Printable Adoption Application

Names of all adults living in the house:	______________________________________________________________________________________________________
Address:	______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
Home Phone:	______________________________________________________________________________________________________
Email Address:	______________________________________________________________________________________________________
Employer:	______________________________________________________________________________________________________
Occupation:	______________________________________________________________________________________________________
Business Address:	______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
Business Phone:	______________________________________________________________________________________________________
The first step in the adoption process is reading Retired Racing Greyhounds for Dummies by Lee Livingood

1) Please list any pets you currently own. If you own a dog(s), please indicate age, sex, breed, size and whether spayed or neutered:

2) Have you ever owned a greyhound before? If so, please indicate when you adopted it and the contact information for the group or person you adopted it from.

3) What pets have you had in the past?

Why are they no longer with you?

4) Please list age and gender of any children in household, including any children who visit on a regular basis (Note - It is GHG's policy not to adopt to families with children under the age of 3)

5) Do you own your home? YES___ NO___

Dwelling type: Single Family___ duplex or apartment___ mobile home___

6) If you do not own the home, can you get a written and notarized letter of permission from your landlord stating that you may have a greyhound? (We must have this letter in our hands prior to the actual adoption of a greyhound): YES___ NO___

7) Do you have a completely fenced in yard? YES___ NO___

What type of fencing(Cyclone, stockade, etc.)?___________________

How tall? ______ feet

8) If you do not have a fenced in yard, are you willing and able to take a greyhound outside on a leash for relief and exercise at least 3 or 4 times every day? YES___ NO___

9) How many hours a day would the greyhound be home alone?

Where would the greyhound be while you are away from home?

Where would the greyhound sleep at night?

10) Do you understand that a greyhound must be kept on a leash at all times when not in a completely fenced in area and that you can never tether a greyhound to a tie-out, pole, running line, etc.? YES___ NO___

11) A greyhound must live within the home. Greyhounds cannot be kept in outdoor kennels or doghouses, be chained outdoors, put on a wire run or kept outside in any fashion. Are you willing and able to keep a greyhound inside your home? YES___ NO___

12) Will you permit a Going Home Greyhounds, Inc. representative to visit your home for purposes of deciding whether to grant your application? YES___ NO___

13) Would you keep a collar, bearing identification tags and current licenses, on a greyhound at all times, and further, promise to notify Going Home Greyhounds, Inc. as soon as possible if he/she should ever become lost?
YES___ NO___

14) Is there anyone living in your household suffering allergic reactions to dogs? YES___ NO___

15) Are all members of your family in agreement about adopting a greyhound? YES___ NO___

16) Please list the name, address and telephone number of the veterinarian(s) who have treated your pets in the past.

17) Greyhounds adopted through Going Home Greyhounds, Inc. generally will come to their new owners already spayed or neutered, having had a full dentistry check-up and a complete physical examination, including initial worming and flea treatment, a heartworm check, and inoculations current within six months. To help defray these and other operating expenses, we recommend a non-refundable adoption donation of at least $220.00. Are you willing to make this non-refundable donation? YES___ NO___

18) If your application is approved, you will be required to sign an Adoption Agreement setting forth certain terms and conditions pertaining to the adoption of a greyhound to which you must agree. Will you carefully review the Adoption Agreement before signing? YES___ NO___

19) How did you hear about Going Home Greyhounds, Inc.?

By signing this form, I hereby certify that all the information I provided on this Adoption Application is true and correct and I grant Going Home Greyhounds, Inc. permission to contact the veterinarian(s) listed in response to number 15 above for the purpose of obtaining a reference, and I agree to hold the veterinarian(s) harmless for providing such information.

The first step in our adoption process is reading the book Retired Racing Greyhounds for Dummies by Lee Livingood, which is available at our online store, your library or in a bookstore, prior to sending in this application.

Signature:_________________________________

Print Name:________________________________

Date:______________________________________

Signature:_________________________________

Print Name:________________________________

Date:______________________________________

This form can be printed and mailed to:
Going Home Greyhounds, P.O. Box 513, Wexford, PA, 15090

© Copyright 1995-2005, Going Home Greyhounds, Inc.