Personal Information
How did you hear about Greyhound Friends For Life? 
Name:
  
Street:
City, State, Zip:
Work Phone:
Home Phone:
Email (required):
Cell Phone:
References of 2 people who do not live with you:
1. Name:
Phone:
2. Name:
Phone:
Who is your veterinarian?
Vet Address:
Phone:
Please select your housing situation: Own House Own Condo
Rent House Rent Mobile Home Military Housing Other
Renters, please provide landlord's name: Phone:
Does landlord allow pets?
 Yes     No
How long have you lived at your present address?
Are you planning to move within the next 6 months?
 Yes     No
If you move, what will you do with your pets?
Do you have access to a yard?          Yes     No Size of yard:
Describe the yard: Open  Fully Enclosed       

Type of Fence / Height:

How many adults in the household?  
Children / Ages:    
Who will be responsible for dog's care? 
Is anyone in the house allergic to animals?  Yes       No
Describe the vehicle(s) you drive:
Pet Ownership History
Please list all pets currently in the home, including small caged pets and barnyard animals:
TYPE OF PET
AGE
GENDER
SPAYED
NEUTERED?
KEPT IN OR OUT
HOW LONG OWNED?
1.
M   F
Yes No
In Out
2.
M   F
Yes No
In Out
3.
M   F
Yes No
In Out
4.
M   F
Yes No
In Out
5.
M   F
Yes No
In Out
6.
M   F
Yes No
In Out
7.
M   F
Yes No
In Out
8.
M   F
Yes No
In Out
9.
M   F
Yes No
In Out
10.
M   F
Yes No
In Out

Please list all pets owned in the last 10 years other than those listed above:
TYPE OF PET
SPAYED
NEUTERED?
KEPT IN OR OUT
HOW LONG OWNED?
WHAT HAPPENED TO PET?
1.
Yes No
In Out
2.
Yes No
In Out
3.
Yes No
In Out
4.
Yes No
In Out
5.
Yes No
In Out
Have you ever surrendered a pet to an animal shelter? Yes No
If yes, please explain the circumstances: 
Dog Selection Criteria
What is your main reason for wanting to adopt a Greyhound? Please check all that apply:
Companion for you  Companion for other pets Companion for children Watch Dog 
Hunter  Breeding  House Pet  Gift - Who is it for?
Gender preferred: Male   Female  Doesn't matter
Age range preferred: Puppy  1-3 yrs.  4-6 yrs. 7-10 yrs.  Senior 10+
Temperament preferred: Very active  Active  Easgoing  Lap dog  Sedate 
Very active  Intelligent  Playful  Protective  Affectionate  Shy
Independent  Other
I would like my new dog to get along with: Other dogs Cats Birds
Farm animals Young children  Other
Do all members of the family favor this type of dog?   Yes    No
Dog Care
How many hours a day will the dog be left alone?

Where will the dog sleep at night?

Where will the dog be during the day?
If you plan to keep the dog outside, what kind of shelter will you provide?
How will you keep your dog confined to your property? In the house Kennel 
  Fenced yard  Garage  Patio  Tethered  Chain  With training
How will you exercise the dog?
How long do you plan to keep the dog?
If you must give it up, what would you do?
Do you object to an inspection of your premises? Yes   No
Do you have a swimming pool, pond or spa? Yes   No
If yes, what type of cover do you have for it?

I hereby release to Greyhound Friends For Life all veterinary records of any and all animals I own or have owned.  I certify that all information in this application is true and that I understand that any false information may void this application.

(Please print a copy of this application for your records)

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