Adoption Application
Adoption Application
Primary adopter legal last name
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Primary adopter first name
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Age of Primary adopter
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Primary Adopter’s occupation.
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Is there a secondary adopter who lives in the home?
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Yes
No
Phone
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Email
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Secondary adopter Legal Last name
Secondary adopter first name
Age of secondary adopter
Names and ages of children living in the home under the age of 18. If there are no children in the home please state that
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Names and ages of other adults age 18 or older living in the home. If there are no other adults in the home please state that.
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Primary Street Address
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Primary Street Address
Primary Street Address
Primary Street Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Do you own or lease your home?
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Is your home single family, townhome, condo, duplex or apartment?
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Name of landlord or leasing company if applicable
Landlord/leasing company contact information including address, phone number and email.
Do you have stairs in your home?
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Do you have a fenced area enclosed with latching gate(s)?
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What kind of fence do you have? Chain link, Wooden, Aluminum Vinyl, Electric or “invisible”
How tall is your fence?
Do you currently have pets?
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Please list all of your current pets.
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Are the pets identified above spayed or neutered?
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Are your pets on flea and tick & heartworm preventative?
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Are all of your pets up to date on their vaccinations?
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Name and phone number of Veterinary Office
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While you are at work or not home, how long will your dog be alone in the home?
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If you work outside the home for longer than 4 hours, are you willing to use doggie daycare or a pet sitting service to see that your greyhound gets outside for a short walk and potty break?
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Does anyone in your household have allergies to any animals?
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Describe the activity in your household, i.e. busy or quiet, or a somewhere in the middle.
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Have you ever adopted a greyhound from us or another greyhound group? If yes, please list the group’s name and location. If not, please put N/A
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Why do you want a retired racing greyhound?
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Do you understand your retired racing greyhound must be on a leash or in a securely fenced area when outside at all times?
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Do you understand a retired racing greyhound cannot be tied out (tethered) on a leash or a chain?
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Do you understand your retired racing greyhound MUST live inside?
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Are you aware a retired racing greyhound can NEVER be kept in an unfinished garage or basement
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Are you aware that the approximate minimum annual cost of greyhound ownership, which includes food, toys, beds, medical care, heartworm & flea and tick prevention, can be from $1500 to $2500 per dog?
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Are you aware that greyhounds are large dogs and can unintentionally knock down small children?
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Are you aware that greyhounds shed their fur and are not hypoallergenic?
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Are you aware that Greyhounds are often not exposed to children and may not know how to respond to them?
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Are you aware that some Greyhounds can have a high prey drive and may act aggressively towards small animals and cats?
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Are you willing to purchase and use a minimum 48″ crate, at least initially, to get your new retired racing greyhound used to his/her new home?
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Please list all of the reasons you believe justify returning a dog. Reasons such as biting, whining/crying, housebreaking, chasing/catching wildlife, health problems with dog, divorce, adding a new baby, shyness, separation anxiety, home remodeling, etc…
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Where will your greyhound sleep at night? Please specify if your greyhound will be allowed in your room to sleep.
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Are you interested in a specific retired racing greyhound shown on our foster page? If so, please list his/her name.
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Reference 1 Name
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Reference 1 Contact information: complete address, email, and phone number.
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Reference 2 Name
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Reference 2 Contact information: complete address, email, and phone number.
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Reference 3 Name
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Reference 3 Contact information: complete address, email, and phone number.
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I have read, understand, and agree that all statements made on this application are true and correct. I have never been convicted of animal neglect or cruelty. I agree to allow representatives of GCA-NC to contact all parties listed above for the purpose of verification. I understand that any false statements will result in a denial to adopt. I understand that my application is pending approval and that my veterinarian and all references will be contacted prior to approval. Please type your name which will act as your signature.
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signature
keyboard
Clear
Do you agree that if for any reason you are no longer able to keep your adopted greyhound, you must return your dog to Greyhound Care and Adoption of NC?
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Submit