EmailMe Form - Legacy GPA Senior Sanctuary

Applicant: *

First Last

Co-Applicant:

First Last

Address:

Street Address City State / Province / Region Postal / Zip Code Country / Region

Email:

Phone: *

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Applicant's Employer & Job Title:

Co- Applicant's Employer & Job Title:

Why do you want to adopt a Greyhound and how long have you considered this decision?

How did you hear about our organization?

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

MM / DD / YYYY

Please describe which personality traits do you find desireable and undesireable in a greyhound?

Which is your preferred activity Level: Low, Medium or High?

Check all that apply:

Do you have a preference as to male or female? If so, why?

List the pets you currently have in your household. Please include type, age, personality type, neutered (yes no), where they are kept, and if their vaccines are current:

List the previous pets you have owned in the past 10 years. Type, neutered (yes no), time owned, where they were kept, and what happened to pet:

What is the total number of people in your home? How many are children and what are their ages? Do you have grandchildren visiting regularly?

Are your children good with animals?

Any family members with special needs, such as wheelchairs?

Who will be primarily responsible for the care of your Greyhound?

Are you willing to spend the time and effort required to acclimate the greyhound to its new home?

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

Are you willing to crate your greyhound during this adjustment period?

Do you have experience dog training? If yes, what methods were used?

Are you aware that the cost of basic care for a greyhound will be at least $500 per year?

You could easily have your Greyhound 12-15 years. Are you prepared to assume responsibility for that long?

What would you consider a valid reason for giving up your greyhound? Check all that apply:

How often do you travel and what dog care arrangements will be made?

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?

In which type of home do you live?

If an apartment, condo, or a homeowners association, do you have permission for a dog over 55 pounds? Please include Landlord's name and phone number if applicable. (Prior to adoption we will need oral and written verification from the landlord/property manager)

Do you have a completely fenced yard? (not required) If so, what size? What is the fence height at it's lowest point?

Do you have a swimming pool, lake/pond, or river in or near your yard?

Are you aware of the importance of keeping your greyhound on a leash or in a completely fenced area?
NEVER keep your greyhound outdoors on a chain. It can break its neck!

Where and how will you exercise your Greyhound?

Your greyhound MUST live within your home.
Please describe what resting/sleeping space is available for the dog during the day and during the night?

Are there stairs in or outside your home? If so, how many?

Please provide us with references (other than family members) that you have known over 3 years. Include name, address and phone.

Please provide us with your Vet's name, address, phone, pet's name and whose name the records are listed.

Please provide name, address and phone of friend or relative we may contact in case of emergency.

Do you agree to the following statements:

• Use a martingale collar and never tie your dog outside.
• Keep a GPA/GPA Senior Sanctuary ID tag on this pet at all times.
• Keep current your greyhound's vaccinations and dental hygiene.
• Notify GPA/GPA Senior Sanctuary if the dog is lost or stolen.
• Do you agree to keep the greyhound solely as a house pet, and agree to never use it for racing, hunting, or research/experiments?
• For any reason, if you are unable to keep your greyhound, do you promise to notify and return it to us and not place the greyhound in a shelter or with anyone else without written permission from the GPA Senior Sanctuary President?
• Allow us to make a home visit prior to placement of one of our greyhounds.
• I intend to let my greyhound live in the house with me.
• I understand that the adoption fee of $185 is non-refundable.

Do all members of your household agree to the statements above? *