How did you hear about our organization?

Approximately what date would you be ready to bring your new greyhound home?

LIVING ARRANGEMENTS

What is the total number of people living at your home?

Do all members of your household agree to this decision? - YES NO

How many hours per day will your Greyhound be left alone?      

Number of Children under 15 years:       Ages:

Are your children good with animals? N/A YES NO

Any family members with special needs, such as wheelchairs? - YES NO

Who will be primarily responsible for the care of your Greyhound? - SELF SPOUSE CHILDREN OTHER

Are you willing to spend the time and effort required to acclimate the greyhound to its new home?  - YES NO

What experience have you had with dog training?

What methods were used?

Are you aware that the cost of basic care for a greyhound will be at least $500 per year? - YES NO

You could easily have your Greyhound 12-15 years.   Are you prepared to assume responsibility for that long? - YES NO

How often do you travel? 

What dog care arrangements will be made when you travel?

Do you expect any major lifestyle changes in your home during the next year (new job, schedule changes, new baby, etc)

In which type of area do you live?  - City Suburban Rural

In which type of home do you live?  - House Mobile home Condo Apartment

(If applicable) If an apartment, condo, or a homeowners association, do you have permission to keep a greyhound? - Yes No N/A

Landlord's Name Phone number:

Do you have a completely fenced yard? (not required) - YES NO What size?

Fence height at lowest point?

Are you aware of the importance of keeping your greyhound on a leash or in a completely fenced area? - Yes No

NEVER keep your greyhound outdoors on a chain.  It can break its neck!

Where and how will you exercise your Greyhound?

Do you understand your greyhound MUST live within your home? - Yes No

Where will your greyhound sleep?

DESIRED TRAITS

Do you have a preference as to male or female? NONE MALE FEMALE If so, why?

Do you have a preference as to color?

The majority of Greyhounds coming into this program are between the ages of 2 and 5.
Would you consider a Greyhound younger than 2 years old? - YES NO Older than 5 years old? - YES NO

Note: It may not be possible to accommodate all requests.

CURRENT & PREVIOUS PETS

Do you agree to the following statements:

If you currently have a Vet, or know of whom you will be using, please provide the following information:

Vet's Name:  Phone:  

Name of Clinic:

Address:

For which pet(s)?

Name of friend or relative we may contact in case of emergency:

Phone: Home Address: City:

State:    Zip:

**If your application is approved, your greyhound MUST be kept indoors and never left outside for extended periods of time, day or night.  Your greyhound can never be tied out. 
  - I agree to this. I will NOT agree to this.

**If your application is approved, you will be considered the primary adopter responsible for the greyhound’s care.  If for any reason you are unable to keep your greyhound, he or she must be returned to GPA Salt Lake.  You agree to never place the greyhound in a shelter or with anyone else without prior written permission from an officer of GPA Salt Lake. 
  - I agree to this. I will NOT agree to this.

**GPA Salt Lake may request a home visit prior to placement.  A home visit can help us to better determine the right greyhound for you, and we may have ideas or suggestions to help you prepare your home for a greyhound.  On your request, we will be happy to bring along one of our own pet greyhounds so that you can get a feel for their size and presence in your home.  The GPA Salt Lake representative will not try to assess your housekeeping skills or your taste in home décor.  Our primary concern is the safety of the hounds we place. 

Will you allow us to schedule a home visit with you?  - Yes No

If so, would you like our representative to bring a greyhound along?  - Yes No

I HEREBY CERTIFY THAT ALL INFORMATION CONTAINED IN THIS FORM IS TRUE AND CORRECT.  If my application is approved, I agree to keep the greyhound exclusively as a pet.  I will accept full responsibility for his or her care and will not hold the previous owner or GPA Salt Lake and its representatives responsible for any future liability concerning this greyhound.  All greyhounds placed by GPA Salt Lake have been spayed or neutered prior to adoption.  A minimum donation fee of $195.00 will be due at the time of adoption to partially cover the greyhound’s previous vet work and transportation costs.