First Name (required field):
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Last Name (required field):
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Street address (required field):
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City (required field):
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State (required field):
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Home Phone:
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E-mail (required field):
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Please indicate where you live:
house
duplex
apartment
condo/townhouse
trailer/mobilehome
other
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Do you...
rent home
own home |
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If you rent,
Do you have the landlord's permission to own a dog? |
Yes No
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| What is the Landlord's name? |
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| What is the Landlord's phone number? Needed for verification that landlord approves pets. |
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| How long have you lived at your present address? |
years |
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| Name of contact person who can always reach you: | |
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| Where do you work? |
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| Work Phone: |
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| Number of adults in household: | Adults |
| Number of children in household | Children |
If Children,
Children gender/ages? |
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| Are you willing to teach young children the proper care and treatment of this dog? |
Yes
No |
| Are you willing to always monitor young children with this dog? |
Yes
No |
| Do any family members have allergies to dogs or cats? If yes, which member? |
Yes
No
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| Which member of the household will be responsible for taking care of this dog? |
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| What is the name of the dog(s) you are
interested in? |
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| Information About Pets You Currently Have In Your Household
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| Information About Previous Pets |
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| Your veterinarian's name, address and phone number: |
Name
Street Address
City, State
Phone |
| To provide vet care, medication, monthly heartworm preventative, flea/tick preventative, toys/treats, etc. I anticipate spending (YEARLY): |
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| Where will your new dog stay when home alone during the day? |
outside in fenced area
outside in dog pen
outside on chain or tie-out
inside in basement
in the garage
inside free run of house
inside in one room of house
inside in crate
other, please describe:
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| Where will your adopted Greyhound sleep at night? |
dog house in fenced area
dog house in dog pen
dog house near tie-out
inside in basement
in the garage
inside, free run of house
inside, in one room of house
inside, in crate
in my bed
other, please describe:
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| How many hours will the dog be home alone on a typical day? |
Hours alone |
| How much time per day will you be able to interact with your dog? |
Hours interacting with you |
| What activities or hobbies do you have that will include your dog? |
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| If you were suddenly relocated or had other drastic lifestyle changes that made it hard to keep the dog, what would you do with him/her/them? |
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| What will happen to this dog when you go out of town, go on vacation, or in case of an emergency? |
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| If the dog suddenly became seriously ill or injured and the veterinarian said expensive medical treatment was needed, what would you do? |
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| What will you do if your dog shows destructive behavior? (Chewing or digging for example) |
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| Do you plan to take your dog to obedience classes?
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Yes
No
Explain: |
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| Do you want to have your dog spayed or neutered?
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Yes
No
Explain: |
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| Have you ever lost a pet?
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Yes
No
If yes,
What did you do to find your lost pet?
Did you find your lost pet?
YesNo
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| Please check any of the following reasons for adopting this
dog: |
House pet
Breeding
Watch Dog
Companion
Hunting
Fighting dog
Companion for other pet
Gift - for whom
Guard dog - Explain
other - please specify:
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| Do you realize you will probably have to house train your new dog or puppy??
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Yes
No |
| Would you like information on how to house train your new dog or puppy?
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Yes
No |
| Describe the brand of food and the feeding program (frequency, etc.) you will utilize for your dog? |
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| If adopting an adult dog or when your puppy becomes an adult, how many times a day will you exercise him/her? And, for how long each time? |
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| ALL dogs should be on HEARTworm Preventative
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Do you know what heartworm disease is and how to prevent it?
Read about heartworm here. Many people do not know about heartworm, it is important for all dog owners to know about this deadly parasite. |
Yes
No |
| How will you prevent your dog from getting heartworms? |
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| How will you prevent your dog from getting the Parvovirus? |
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| Are you familiar with the Austin Pet Registry requiring pets to be licensed? |
Yes
No |
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| How will you keep your dog confined to your property? Check all that apply: |
House
Kennel Run
Chain/Tie Out
Garage
Patio
Leash
Fence:
Height:
Type:
Size of fenced area:
Other
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| Would you object to a follow up visit by Greyhound Rescue Austin? |
No
Yes |
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| Do you realize that dogs often live longer than 10 years? |
Yes
No |
| Are you willing to assume responsibility for this dog for that long? |
Yes
No |
Please list two references, not family members, who are familiar with you and your relationship with your pets:
Name: Phone: Relationship:
Name: Phone: Relationship: |
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| How did you hear about Greyhound Rescue Austin? |
website
newspaper
word of mouth
other - please specify:
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| Typing your name below will serve as legal signature.
By signing below, I authorize my veterinarian to release information regarding my pets to a representative of Greyhound Rescue Austin. I certify that the above information is true. False information will nullify this adoption. Applicant must be 21 years of age or older. Greyhound Rescue Austin reserves the right to refuse any applicant.
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| Due to problems with spam please enter the last four digits of the first phone number that appears below. Hopefully, this will reduce the spam applications. Thank you for your understanding. |
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Please send a $25 non-refundable deposit (part of your adoption fee) to: Liz White, 2805 West Fresco, Austin TX 78731.
