First Name (required field) : Last Name (required field) :
Street address (required field) : City (required field) :
State (required field) : ZIP:
Cell Phone #: Home Landline #: E-mail (required field)>:
Please indicate where you live:
Do you...
If you rent, Yes
What is the Landlord's name?
What is the Landlord's phone number? Needed for verification that landlord approves pets.
How long have you lived at your present address?
Name of contact person who can always reach you:
Where do you work?
Work Phone:
Number of adults in household: Adults
Number of children in household Children
If Children,
Are you willing to teach young children the proper care and treatment of this dog? Yes
Are you willing to always monitor young children with this dog? Yes
Do any family members have allergies to dogs or cats? If yes, which member? Yes
Which member of the household will be responsible for taking care of this dog?
What is the name of the dog(s) you are
interested in?
Information About Pets You Currently Have In Your Household
Information About Previous Pets
Your veterinarian's name, address and phone number:
To provide vet care, medication, monthly heartworm preventative, flea/tick preventative, toys/treats, etc. I anticipate spending (YEARLY):
Where will your new dog stay when home alone during the day?
Where will your adopted Greyhound sleep at night?
How many hours will the dog be home alone on a typical day?
How much time per day will you be able to interact with your dog?
What activities or hobbies do you have that will include your dog?
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?
What will happen to this dog when you go out of town, go on vacation, or in case of an emergency?
If the dog suddenly became seriously ill or injured and the veterinarian said expensive medical treatment was needed, what would you do?
What will you do if your dog shows destructive behavior? (Chewing or digging for example)
Do you plan to take your dog to obedience classes?
Yes
No
Do you want to have your dog spayed or neutered?
Yes
No
Have you ever lost a pet?
Yes
No If yes, Yes No
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 Guard dog other - please specify:
Do you realize you will probably have to house train your new dog or puppy??
Yes No
Would you like information on how to house train your new dog or puppy?
Yes No
Describe the brand of food and the feeding program (frequency, etc.) you will utilize for your dog?
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?
ALL dogs should be on HEARTworm Preventative
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?
How will you prevent your dog from getting the Parvovirus ?
Are you familiar with the Austin Pet Registry requiring pets to be licensed? Yes No
How will you keep your dog confined to your property? Check all that apply: House Kennel Run Chain/Tie Out Garage Patio Leash FenceOther
Would you object to a follow up visit by Greyhound Rescue Austin? Yes No
Do you realize that dogs often live longer than 10 years? Yes
Are you willing to assume responsibility for this dog for that long? Yes
Please list two references, not family members , who are familiar with you and your relationship with your pets: Name:
Name:
How did you hear about Greyhound Rescue Austin?
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.
Please send a $25 non-refundable deposit (part of your adoption fee) to: Liz White, 2805 West Fresco, Austin TX 78731.
Submit
