| Name(s): |
______________________________________________________ |
|
| Address: |
______________________________________________________ |
|
| |
______________________________________________________ |
|
| City: |
_______________________________ State: _____ Zip:
_______ - _____ |
| Home phone: ____ - ____ - _________ Best time to call you:
________________ PM / AM
|
|
Occupations:
____________________________________________________________
|
| : Place of Employment:
_____________________________________________________
|
| Greyhound Pets of America wants both pet
owner and greyhound to be happy, and attempts to match each applicant
(based on answers to the questions in this application) with a greyhound
suited to their particular home situation. After we receive this application
a GPA representative will contact you. Please use another sheet of paper
if you need additional room for answers to the following questions: |
| 1. How did you hear about
our organization? ___________________________________ |
2. Why do you
want to own a pet greyhound? __________________________________
______________________________________________________________________ |
| 3. Do you currently own a dog or dogs?
If yes, give breed, sex, and age. _______________
______________________________________________________________________
|
|
4. Have you previously owned a dog that is no
longer with you? YES NO
|
| |
If yes, please note what became of it:
_________________________________
|
| 5. What other pets do you have?
_______________________________________
|
|
| |
|
|
| 6. How many people in your household
and what hours is someone home? |
| |
_______________________________________________________
_______________________________________________________
|
|
| 7. How many
children and what are their ages? |
| |
_______________________________________________________
_______________________________________________________
|
|
| 8. Do you own your own home?
Yes
No |
| |
If no, are you allowed a dog?
Yes
No |
|
| 9. Home Type (select one):
_____________________________________________
|
| |
If renting, in a condo or mobile
home, can you have a dog over 50 pounds?
Yes
No |
| 10. Do you have a fenced-in yard or
area?
Yes
No |
| |
If no, is there a fenced-in area nearby where
you can exercise your dog once or twice a week?
Yes
No |
| 11. Are you willing and able to take
your pet greyhound outside at least four times a day for necessary functions?
Yes
No |
| 12. Do you intend to: hike
, jog
, or lure course
with your greyhound? |
|
13. Do you have any preferences as to sex or color of
your pet greyhound? |
| |
________________________________________________________________
________________________________________________________________
|
|
| 14. What is the name and address
of your current or last veterinarian? |
| |
_______________________________________________________________
_______________________________________________________________
|
| |
|
| This application, if approved, will become
part of the greyhound adoption agreement. I certify that all statements
made by me on this application are true and correct. I have read and agree
to abide by the nine Adoption Requirements. If I qualify and receive a
greyhound from GPA-CNH, I will accept full responsibility for the greyhound.
I also understand that to complete the processing of this application,
a visit to my home will be scheduled by a local representative of the
adoption program. By submitting this application I agree to such a scheduled
visit. I certify that all information provided by me on this application
is true and correct. |
| Signature: |
_________________________________________
Date:
___________
|
|
|
| Send the application to: |
| |
- Greyhound Pets of America CNHC
- PO Box 778
- Concord, NH 03302-0778
|
|
(rev. 02/19/00) Copyright © 1992 by
GPA/CNHC. All Rights Reserved
|