Please complete all information to the best of your ability and provide as much detail as possible.  This will help us to better establish a profile for you as to what would be the best personality of greyhound for you.

Personal Information

Where did you hear about us?

Full Name   

Address 1

Address 2

City   State   Zip

Home Phone #  

Work/Cell #

References - two people who do not live with you:

Full Name  
Phone #

Full Name  
Phone #

Veterinarian?

Name  
Phone #

Address

Property:

Type of Housing Own House Own Condo Rent House Rent Apartment Rent Mobile Home Military Housing

Landlord's Name

Landlord's Phone

Do they allow pets?   Yes No

How long have you lived at your current address?  

Do you plan to move in the next six months? No Yes

If you move, what will you plan to
do with your pets?

Do you have access to a yard? Yes No

If "Yes", what is the approximate size?

Is the yard No Yard Fully Enclosed Open

Type of enclosure/fence   
Height (in feet) 

Pet Care:

How many adults are in the household?  
How many Children?

Ages of the children

Who will be responsible for the dog's care?

What types of vehicles do you drive?

Pet Ownership History

Please list all pets currently in your home.  Include small caged pets and barnyard animals.  If you do not own any, just leave the following section blank.  If you own more than four, please let us know when we contact you.

Animal: Type/Age  
Spayed/Neutered Yes No   Kept In/Out In Out  
How long owned

Animal: Type/Age  
Spayed/Neutered Yes No    Kept In/Out In Out  
How long owned

Animal: Type/Age  
Spayed/Neutered Yes No    Kept In/Out In Out  
How long owned

Animal: Type/Age  
Spayed/Neutered Yes No    Kept In/Out In Out  
How long owned

Please list pets owned in the past ten years, other than those listed above:

Animal: Type/Age  
Spayed/Neutered Yes No  
Kept In/Out In Out  
What happened to the pet?

Animal: Type/Age  
Spayed/Neutered Yes No  
Kept In/Out In Out  
What happened to the pet?

Animal: Type/Age  
Spayed/Neutered Yes No  
Kept In/Out In Out  
What happened to the pet?

Animal: Type/Age  
Spayed/Neutered Yes No  
Kept In/Out In Out  
What happened to the pet?

Dog Selection:

What is your reason for wanting a greyhound?

I also want it to be (check all that apply)

Watchdog        
Companion        
Companion for other pet(s)        
For the children    
Hunter        
House Pet        
Gift

 Sex preferred Male Female

If the dog is a gift, who is it for?

Age range preference

Temperament preferred (check all that apply)

Very Active        
Active        
Easygoing        
Lapdog        
Sedate        
Intelligent        
Playful        
Protective
Affectionate        
Shy        
Independent        
Cat Safe        
Other

I would like my new dog to get along with
(check all that apply)

Other dogs         Cats         Birds        
Young children         Farm Animals

Do all members of the family favor this type of dog? Yes No

Comment:

Dog Care

Do you plan to spay or neuter your dog? Yes No

Why, or why not?

How many hours a day will the dog be left alone?

Where will the dog be kept at night?

Where will the dog be kept during the day?
(indoors, outside, at work, in the garage, etc.)

If you plan to leave the dog outdoors, please
describe the outdoor shelter you will provide.

How will you keep the dog confined to your property? 
(check all that apply)

In house        
Chain        
Kennel        
Fenced Yard        
Garage        
Patio        
Tethered        
With training

 How will you exercise the dog?

How long do you plan to keep the dog?

If you must give up the dog, what would you do?

Release Documentation

Do you object to an inspection of your premises? No Yes

Do you have a swimming pool, pond, or spa? No Yes

     I hereby release to Greyhound Adoption & Rescue of Las Vegas, all veterinary records of any kind if requested of any animals I own or have owned.  I certify that all the information in this application is true, and I understand that false information may void this application.

Digital Signature:  
Date:

Email

When your application is complete, please click the "SUBMIT" button below to send it.  Your application will be reviewed as soon as possible, and someone will contact you soon regarding your interest in adopting