Please fill out all of the appropriate blanks.
Applicant's Information
Applicant's Name	Address
City	State
Zip	Phone
e-mail Address	confirm e-mail Address
Occupation	Employer
Work Phone	Work Address
City	State
Co-applicant's Information
Co-applicant's Name	Address
City	State
Zip	Phone
Occupation	Employer
Work Phone	Work Address
City	State
Age Group of Applicants 21-2525-3535-4545-5555-65over 65
How did you hear about the Greyhound adoption program?
Why do you want to adopt a Greyhound?
Do you prefer a MaleFemaleNo Preference Is the age of the dog a factor?YESNO
What other pets do you have Now?
If you have other dogs, what sex? MaleFemaleBoth What Breed?
Spayed or neutered? Yes No
What pets have you had in the past?
Number of adults in the household. 123456more
Hours at work? 123456789more
Number of children in household 01-33-55 or more
Please list their ages. If you have grandchildren that visit you, please include their ages and how often they visit.
Does anyone in your household have allergies to animals? YesNo
Dwelling type? HouseCondoApartmentMobile HomeDuplex
Do you own your home? YesNo
If not, please give us your landlord's name and telephone number
If you have an Association where you live, does the Association have restrictions regarding the size of dogs allowed? YesNo
If so, please list restrictions and the phone number contact for the association.
Do you have a completely fenced yard? YesNo
If yes, please give the type and height.
Do you intend to keep your Greyhound in the house? YesNo
Are you willing to take your Greyhound outside 3-4 times daily to relieve him/herself? YesNo
Are you aware of the importance of keeping your Greyhound on a leash when outdoors and not within a completely fenced area? YesNo
Do you promise to keep a collar bearing identification on your Greyhound AT ALL TIMES? YesNo
Do you agree to notify the Racing Dog Rescue Project, Inc. if you find you can no longer keep the dog? YesNo
Do you further agree not to give the dog to ANYONE without the organization's consent? YesNo
Please provide us with the Name, Address, and Phone number of a veterinarian who knows of you or has treated your animals.
Do you agree to provide year-round heartworm preventative for your Greyhound? YesNo
Do you agree to provide annual vaccinations for your Greyhound? YesNo

Copyright© 2000 Racing Dog Rescue Project Inc. All photos used with permission of The Greyhound Project Inc. Milton MA Site design and maintained bySteven Gerety and Michael Marino for Geretygraphics.com at Keiser College.