Untitled Document

Renewed Life for Greyhounds Adoption Form

Adoption fee: The non-refundable adoption fee of $175.00 includes:

Spay / Neuter
Dental - Teeth Cleaning
Nail trim
Heartworm test
Fecal - Stool Analysis
Rabies vaccine
Distemper combination vaccine
Heartworm medication
Leash / Collar
Muzzle
Book - Leader of the Pack

YOUR INFORMATION

Name
Significant Other
Your E-mail Address
Postal Address
City
State
Zip
Your Occupation
Home Phone
Work Phone

Number of people in the household: Adults Children (under 16)

PET INFORMATION

Do you have other pets	Yes No

PET #1
Gender	male Female
Age
Type
Are they	Spayed (female)
	Neutered (male)
	Neither

PET #2
Gender	male Female
Age
Type
Are they	Spayed (female)
	Neutered (male)
	Neither

PET #3
Gender	male Female
Age
Type
Are they	Spayed (female)
	Neutered (male)
	Neither

Veterinarian's name
Address
City
State
Zip
Phone

Why do you want to adopt a Greyhound?

How did you hear about Renewed Life?

OTHER INFORMATION

Own Rent		Do you OWN or RENT?
		What type of housing is it?
yes no		If rent, does your landlord allow dogs?
yes no		May we conduct an in-home interview?
yes no		Do you have a fenced in yard?
		If yes, what Type
		Yard Size
		Fence Height
yes no		If you do not have a fence, are you willing to provide on-leash walks with your Greyhound(s) at least four times daily?
yes no		Are you planning to keep your Greyhound in a crate/kennel when you are gone?
		Do you have a preference regarding: Age
		Gender
		Color
yes no		Do you currently have a veterinarian?


PERSONAL REFERENCES

Name
Address
City
State	Zip
Phone

Name
Address
City
State	Zip
Phone

Name
Address
City
State	Zip
Phone

ADOPTION POLICIES

I agree to never let my dog off leash when outside of a fenced-in area.
I agree to never put my dog on a tie-out chain or trolley. Greyhounds run at speeds of up to 45 mph. If they are tied out, there is a risk of the dog breaking its neck!
I agree that my Greyhound will be a house pet. It will not be kept outside for lengthy periods of time other than for supervised exercise and to relieve itself.
I agree to keep my Greyhound current on all vaccinations each year. Annual heartworm tests will be given and my Greyhound will be kept on heartworm prevention all year long.
I agree that if I am unable to keep my Greyhound, I will return him/her to Renewed Life for Greyhounds.

I certify that all information on this application is true and correct. I give permission for Renewed Life for Greyhounds to contact my veterinarian and personal references.

Initials Date