Adoption Application
Circle of Friends Greyhounds, Inc
245 Loggerhead Road
Statesville, NC 28625
704 838-8145
jtdearmin@aol.com
Adoption fee – tax deductible $280.00 – includes all vet work and heartworm testing, dental, muzzle and collar
adoption fee's are non-refundable
Pet ownership is a serious responsibility. It is the policy of Circle of Friends’ Greyhounds Inc Program to assure that each person who adopts a greyhound not only be aware of that responsibility, but that each person will be capable of and willing to accept that responsibility morally, physically and financially. It is quite true that not every person who desires to own a pet should own a pet.
The following questionnaire has been designed to aid both you and the Adoption Center in deciding if you and/or your family are indeed adequately prepared to assume the type of responsible ownership which we are endeavoring to assure for our adoptive greyhounds. If there is not enough space to fully answer each question, please feel free to attach an additional sheet for your responses.
Name_____________________________________________________________________Date_________________
Address________________________________________________________________________________________
City_______________________________________________________________State________Zip______________
Home Phone (________)_______________
E-mail address ________________________________________
Occupation (other) _____________________________________
Work Phone (_____)___________Age_______
Occupation (other) __________________________________
Work Phone (_____)___________Age______
How did you learn about us! _______________________________________________________________________
1. Why do you want a greyhound as a pet?____________________________________________________________
____________________________________________________________
2. Do you have any experience with dogs or other animals? Yes___ No___
3. Do you have any preference regarding age, sex or color?_______________________________________________
4. What other pets do you have?
Type(s)________________________________________________Sex_____________
What are the names of each of your pets?_____________________________________________________________
Where do they sleep?_______________________________________ Sterilized? Yes_____ No_____
5. Did you ever return a pet to a Humane Society or Pound? Yes__ No__ If so, please give reason.________________
______________________________________________________________________________________________
6. Number of adults in your household and ages:
_______________________________________________________
7. Number of children and ages. Please list.
___________________________________________________________
8. Are your children good with animals?
_______________________________________________________________
9. Do you have a fenced in yard? Yes__ No__ Size of Yard (Length & Width)__________Fence Height_____________
Type of Fence____________________ If yard is not fenced, is there a fenced in area nearby where you can regularly
exercise your greyhound Yes____ No____ Describe the area and the size ___________________________________
10. Do you travel much? If so, who will take care of your greyhound?
________________________________________(we board your grey for you)
11. Approximately how many hours a day will your greyhound be home alone?
________________________________
12. Describe the area in which you live: City_______ Suburban_______ Rural______
13. Do you live in a: House______ Apartment____ Condo_____ Mobile Home_____
14. Do you rent or lease? If so, do you have the permission of your landlord to have a dog? ______________________
Landlord’s Name___________________________________________ Phone Number (_____)______________
15. What is the best time of day to reach you by telephone?
_________________________________________________________________
16. Is your household busy or quiet?
_________________________________________________________________
17. Who will be responsible for the care and training of your new greyhound?
_________________________________________________________________
18. Are you willing and able to leash-walk your greyhound for necessary functions at least four (4) times a day? _____
A Non-Profit Organization Devoted To Saving Greyhounds
19. Is there a legal ordinance in your area pertaining to owning/housing an animal (i.e., leash laws, required vaccinations or dog licenses, etc.)?
__________________________________________________________________________
20. Are you willing to keep a collar with a tag bearing your name, address and phone number on your greyhound at all times?________
21. If, for any reason, you are unable to keep your greyhound, will you agree to return it to this Adoption Center?_________________________________________________________________________________________
22. Are you willing to accept immediate and full responsibility for the ownership of your greyhound, including all health care costs and necessary burdens and responsibilities of owning a pet?
______________________________
23. Did you have other pets in your home previously? Please name breed, name and years in your household, andreason for leaving (if no longer there)?
_______________________________________________________________________________________________
24. Do you agree to give your pet Heart Worm preventative? Yes_____ No____ If no, why not?
______________________________________________________________________________________
25. Are you present dogs on Heart Worm preventative? Yes____ No_____
26. If the Adoption Center believes it necessary, will you purchase a crate? Yes______ No______
27. What type of personality/temperament do you think would be the best fit for your household and lifestyle?________________________________________________________________________________________
28. Greyhounds live 12 to 15 years. Can you commit to caring for them for this period of time? Yes___ No___
29. Have you adopted an animal previously? Yes___ No___ If so, where is it now? _____________________________
30. Are you aware of the importance of keeping your greyhound on a leash? _________________________________
31. Greyhounds MUST live inside the home! They cannot adequately be kept in an outdoor kennel or dog house!! Do you agree to keep your new pet inside the home? _________
YOU CAN’T EVER PUT YOUR GREYHOUND ON A CHAIN RUN. IT CAN LITERALLY BREAK ITS NECK.
Reference Information
Current Veterinarian____________________________________
Address_______________________________________________
City_______________________________________________State______Zip___
Phone Number (_____)_____________
Please list at least two (2) references that have known you for more than two (2) years. If you do not have a vet at this time, list three (3) references. At least one of your references should be a neighbor. REFERENCES CANNOT BE FAMILY MEMBERS!
Name_________________________________________________________________________________
Address_______________________________________________________________________________
City______________________________________ State____________ Zip________________
Daytime Phone (____)________________ Evening Phone (____)________________
2- Name_________________________________________________________________________________
Address_______________________________________________________________________________
City______________________________________State_____________ Zip________________
Daytime Phone (____)_________________ Evening Phone (____)________________
I certify that all information submitted on the above Greyhound Adoption Application is true and correct.
Adopter’s Signature_______________________________ Date_____________________