Name:

Address:

City:

     State:      Zip:

Home Phone:

     Work Phone:

Email:

Do you

Own     Rent

If you rent, Landlords name and phone:   Name:      Phone:
Do you have permission to keep a dog?  Yes     No

Number in house of:

Adults:       Ages:   Children:       Ages:      

Current Pets:

Dog(1):       Age:       Sex:  MaleFemale

Dog(2):       Age:       Sex:  MaleFemale

Dog(3):       Age:       Sex:  MaleFemale

# Cats:       Other:  

Former Pets You Have Personally Owned:

(#)Dogs:     (#)Cats:       (#)Others:      

What happened to them? (Be Specific)

Fenced Yard?

Yes     No     Type:       Height:  

Glass Doors?

Yes     No

Who do you work for?

What kind of work do you do?

What hours do you work daily?

Is there someone home all the time?

Yes     No

If no, how many hours a day will your dog be left alone?

What is your general income level?

select one Under $25,000 $25,000 to $40,000 Over $40,000

Veterinarian

       Phone:  

Personal References

#1   Phone:  

#2   Phone:  

Why do you want to adopt a greyhound?

Do you have a preference regarding:

Sex:       Age:       Color:  

Personality:  

Other Needs:  

Would you consider a greyhound with special needs?   Yes     No

What is your knowledge and ecperience level with dogs?  Limited    Good    Extensive

How did you find out about 2nd Chance Greyhounds?   

What research have you done on Greyhound ownership?(ie. books, websites, etc.)

What do you consider valid reasons for giving up a pet?(Please check all that apply):
Biting    Chewing    Expense    Digging    Moving    Having a baby    Destructiveness    House Remodeling    Unable to housebreak    Too rough with children
Other(Please Explain):

Are all members of the household in total agreement with this adoption?(If no, please explain)

Does your family anticipate any major lifestyle changes in the next year (such as retirement, travel, new baby, moving, new job or schedule change)?   

Who will be the primary care giver for your greyhound?   

Where will your greyhound be during the day or when you are not at home?   

Where will your greyhound sleep at night?   

Are you willing and able to spend the funds neccessary for pet ownership?   

What is the activity level of your household?   

Where do your current pets spend their day?   

Will your greyhound be considered a memeber of the family?   

By clicking below, you certify that all statements made by you on this application are true and correct. You ceritfy that you have read and agree to abide by the requirements set forth. If you qualify and receive a greyhound you will accept the life-time responsibility for it.