Date:

First name:

Last name:

Address:

City:

Zip Code:

E-mail address:

Home Phone:

Work Phone:


Questions:

How did you hear about NE Ohio Greyhound Rescue, Inc.? VISITED WEB SITE NEWSPAPER/OTHER ADVERTISEMENT FRIEND MEET AND GREET OTHER

Have you applied to adopt a greyhound from any other adoption agencies in the last 6 months? Yes No
If yes, what was the outcome?


Do you have any preferences regarding color, sex or age of the dog you’d like to adopt? (please explain why you have preferences)


What qualities and temperament do you want in your greyhound?

What qualities and temperament do you NOT want in your greyhound?

Where will your dog spend the day?


Where will your greyhound sleep at night?


List all pets that you currently have. Indicate age, sex and whether each pet is spayed or neutered.


Please list the names of all members of your household (please include the ages of all children):


Are you renting or leasing? Yes No
If yes, do you have permission from your landlord to have a large dog in your home? Yes No

Are there any covenants or restrictions concerning dogs were you live? Please explain:


Do you subscribe to a chemical lawn service or use chemicals /pesticides on your lawn? Yes No
If yes, what steps will you take to keep your new greyhound safe from these chemicals?


Do you have a completely fenced-in yard? Yes No
If yes, How large is the fenced-in area (approximate square footage)?

If yes,Specify type of fence (wood, chain link, etc and height)


How often will you let your greyhound run free (off-leash) in an area that is NOT completely fenced in? Daily Weekly Occasionally Never

Are you able and willing to take your greyhound out 4-6 times a day to relieve itself, regardless of weather and other situations? No Yes

Approximately how many hours during the day will your greyhound be left alone in the house?


Will your greyhound be crated when you are gone? Yes No

What is heartworm?


What will you do to protect your greyhound from heartworm and fleas/ticks (list the specific steps you will take and products you will use)


Have you ever returned a pet to the place you bought/adopted it from or surrendered a pet to a Humane Society? Have you ever given a pet away?
Yes No
If yes, please explain the circumstances of the return.


Under what conditions do feel it is acceptable to return a pet?


How long are you willing to work with your new greyhound to help him/her adjust to your home?


If you experience a problem with your new greyhound, what steps will you be willing to take?
Call NEOGR, Inc. for advice? Yes No
Call your veterinarian for advice? Yes No
Enroll your dog in obedience training? Yes No
Make an appointment with a canine behaviorist? Yes No
Return the dog to NEOGR, Inc.? Yes No
Other (explain)


Please describe the research that you’ve already done about retired racing greyhounds. List the specific books and articles have you read.


Why do you want to adopt a greyhound? What role will your greyhound play in your life (friend, companion, agility competition, etc.)? What role will you play in your greyhound’s life? Why do you want to adopt a greyhound?


References of people who know of your ability to care for a greyhound: (Please do not list anyone already living in your household)
First Reference:
Name:

Phone:

Relationship to you:


Second Reference:
Name:

Phone:

Relationship to you:


I have notified my vet’s office that NEOGR, Inc. will be calling and asking about my current and past pets’ records. Yes No
Vet's name:

Vet's Phone:

NOTE: If your application is approved, you will be required to submit a non-refundable deposit of $25.00 to proceed with the adoption. This deposit will be applied to your adoption fee at the time of adoption. If you change your mind and decide not to follow through with the adoption, you will forfeit your deposit. No deposit will be required if your application is not approved.

Requirements and Conditions regarding Adopting from NE Ohio Greyhound Rescue, Inc.

• Your greyhound must be on a leash whenever it is outdoors, unless it is in a completely fenced area. Never “trust” your greyhound to not run away. DO NOT TIE YOUR GREYHOUND OUTSIDE ON A LEASH OR A DOG RUN - this could lead to broken necks and serious and fatal injuries. We will not adopt to families that use an Invisible Fence.
• You must keep identification on your greyhound at all times. This identification must contain your name and a way to contact you.
• You are required to notify NEOGR, Inc. if your greyhound becomes lost. This should be done immediately!!
• You may NOT give your greyhound to anyone else without NEOGR’S approval. If you should ever decide you cannot keep or do not want your greyhound, you must contact NEOGR, Inc.
• You agree that you will never take your greyhound to a “Pound” or “Humane shelter.”
• NE Ohio Greyhound Rescue is a non-profit organization funded by donations. Adoption fees are currently $300.00 to help offset the costs of the vet work and is payable when you pick up your dog. This adoption fee is non-refundable even if the greyhound is returned for any reason.
• You must read the enclosed article about understanding retired racing greyhounds (see next page).


This application, if approved, becomes part of the Greyhound Adoption Contract. I certify that all statements made by me on this application are true and correct. I have read and agree to be bound by the requirements and conditions set forth, herein. If I qualify and receive a greyhound from NEOGR, I will accept full responsibility for the greyhound.


 



I have read all of the above information and agree to all requirements and conditions (please initial)








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