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GREYTHOUNDS OF EASTERN MICHIGAN PRINT APPLICATION |
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Adoption Application |
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Date: ____________________ Name(s): ____________________________________________ Address: ______________________________________________________________________ City: _________________ County: __________________ State: ______________ Zip: ________ Home phone: ______________________ Business phone: ________________________ Best time to call you: Home: _____________ Work: ______________ Don't Call Work: _____ Your occupation(s):
______________________________________________________________ List names and ages of children living in the home: _______________________________________ ______________________________________________________________________________ List names and ages & relationship of all other person's living in your home:____________________ ______________________________________________________________________________ Do you or anyone in your household have allergies, specifically allergies to dogs? ________________ ______________________________________________________________________________ How did you hear about GreytHounds of Eastern Michigan?________________________________ Have you applied to adopt a greyhound with any other groups? (please list them) _________________ ______________________________________________________________________________ Have you ever met an retired racing greyhound? ___ Yes ___ No Why do you want to adopt a retired racing greyhound?_____________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Are you willing and able to spend the funds necessary for greyhound ownership? ___ Yes ___ No Do you agree to keep this dog on good nutritionally balanced dog food: ___ Yes ___ No Do you agree to keep this dog on Heart Worm preventative year round and to make sure shots and other medical needs are up to date? ___Yes ___No What your households activity level? Quiet ___, Moderately Active ___, Very Active ___ How many hours per day would your greyhound be home alone? _____________________________ Where will your greyhound stay when home alone? _______________________________________ Where will your greyhound sleep at night?______________________________________________ Do you currently have any other pets? __ Yes __ No;
If yes, please specify breed, age, sex and if spayed/neutered. (Please
include previously owned pets and what happened to them) _______________________________________________________________________________ Do you live in a: __ Single family home
__ Apartment __Condo/Townhouse
__ Mobile home Do you own or rent? ________ If you rent or lease, do you have permission from your landlord or condo association to have a large dog? __ Yes __ No. If required will you provide written permission from the appropriate party? __Yes __ No Do you have a fenced yard?
___Yes ___No _______________________________________________________________________________ If you do not have an appropriate fence/yard, are you willing and able to take your greyhound outside on a leash several times a day to relieve itself? __Yes __ No Who will be the primary caregiver for your greyhound?_____________________________________ Do you currently have a veterinarian? __ Yes __ No.
If yes, please list your vet's name, _______________________________________________________________________________ May we contact your veterinarian as a reference? __Yes __ No On a scale of 1 to 5 (5 being highest), rate yourself: GEM is an adoption and support organization. May we contact you periodically to maintain our database after your adoption? ___ Yes ___ No Does your family anticipate any major lifestyle changes
in the next year (such as retirement, travel, new baby, moving,
new job or schedule change)? ___Yes ___No (if yes explain below) _______________________________________________________________________________ What do you consider valid reasons for giving up a pet?
(Please check all that apply) Are all members of the household in total agreement with
this adoption? __ Yes __ No _______________________________________________________________________________ Please provide 2 personal
references (name / address / phone) Reference 2: ____________________________________________________________________ Occasionally, an older greyhound or a greyhound with special
needs is available. Would you consider Do you understand that this greyhound may not be house trained, and are you willing to take the time and energy necessary to train this greyhound? ___Yes ___No May we conduct an in home interview? ___Yes ___No Adopting a greyhound is a lifetime commitment. The greyhound can be expected to live in excess of 12 years. To ensure the safety and health of the greyhound, the following "Adoption Requirements" must be complied with explicitly. Please do not consider adoption if you will not be able to meet this lifetime commitment or adhere to these requirements. Please also consider the financial responsibility in adopting a greyhound this responsibility does not end with the Adoption Fee of $225.00. While greyhounds tend to be a pretty healthy breed, there are veterinary costs associated with caring for any dog. |
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ADOPTION REQUIREMENTS
I / We have read and agree to abide by the nine Adoption Requirements. If I / we qualify and receive a greyhound from GEM, I / we will accept full responsibility for the greyhound. I / we also understand that to complete the processing of this application, a representative of the adoption program will schedule a visit to our home to assist us in matching the needs of a greyhound with the needs of our household. By submitting this application, I / we agree to such a scheduled visit and confirm that all members of the household will attend the home visit. I / we certify that all information provided on this application is true and correct. |
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This application must be signed by any adults residing in the home. Signature: _______________________________________ Date:__________ Signature: _______________________________________ Date:__________ Please Mail to:
GreytHounds of Eastern Michigan |