Adoption Application - GCA-NC

Primary Adopter Information

First Name *

Last Name *

Age *

Occupation *

Is there a secondary adopter who lives in the home? *

Secondary Adopter First Name

Secondary Adopter Last Name

Secondary Adopter Age

Contact Information

Phone Number *

Email Address *

Street Address *

Address Line 2 (Apt, Suite, Unit, etc.)

City *

State *

Zip Code *

Household Information

Names and ages of children living in the home under the age of 18 (or state "none"): *

Names and ages of other adults age 18 or older living in the home (or state "none"): *

Do you own or lease your home? *

Home Type *

Name of landlord or leasing company (if applicable, otherwise N/A):

Landlord/leasing company contact information:

Do you have stairs in your home? *

Yard & Fencing

Do you have a fenced area enclosed with latching gate(s)? *

What kind of fence do you have?

How tall is your fence?

Current Pets

Do you currently have pets? *

Please list all of your current pets (names, breeds, ages):

Are the pets spayed or neutered?

On flea/tick & heartworm preventative?

Are all of your pets up to date on their vaccinations?

Name and phone number of Veterinary Office: *

Please note that we do not adopt to homes with intact pets - I understand *

Do you have a cat(s)? If so, please understand that we have no way to properly test a greyhound for cat safety. I understand *

Lifestyle & Experience

While you are at work or not home, how long will your dog be alone in the home? *

If you work outside the home for longer than 4 hours, are you willing to use doggie daycare or a pet sitting service? *

Does anyone in your household have allergies to any animals? *

Describe the activity in your household (busy, quiet, or somewhere in the middle): *

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: *

Why do you want a retired racing greyhound? *

Acknowledgments

Please read and check each of the following statements:

I understand my retired racing greyhound must be on a leash or in a securely fenced area when outside at all times. *

I understand a retired racing greyhound cannot be tied out (tethered) on a leash or a chain. *

I understand my retired racing greyhound MUST live inside. *

I am aware a retired racing greyhound can NEVER be kept in an unfinished garage or basement. *

I am aware that the approximate minimum annual cost of greyhound ownership can be from $1500 to $2500 per dog. *

I am aware that greyhounds are large dogs and can unintentionally knock down small children. *

I am aware that greyhounds shed their fur and are not hypoallergenic. *

I am aware that Greyhounds are often not exposed to children and may not know how to respond to them. *

I am aware that some Greyhounds can have a high prey drive and may act aggressively towards small animals and cats. *

I am willing to purchase and use a minimum 48″ crate to get my new retired racing greyhound used to his/her new home. *

Additional Information

Please list all of the reasons you believe justify returning a dog: *

Where will your greyhound sleep at night? *

Are you interested in a specific greyhound shown on our foster page?

References

Please provide three personal references (not family members).

Reference 1 - Name *

Reference 1 - Contact Information *

Reference 2 - Name *

Reference 2 - Contact Information *

Reference 3 - Name *

Reference 3 - Contact Information *

Agreement & Signature

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 agree that if for any reason I am no longer able to keep my adopted greyhound, I must return my dog to Greyhound Care and Adoption of NC. *

Electronic Signature (type your full name) *