GPA Tampa Bay - Adoption Application Form

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PO Box 8071•Madeira Beach, FL 33738•727-595-7852

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Adoption Application Form

Greyhound Pets of America's (GPA) goal is to place Greyhounds into homes that will benefit both the dog and the pet owner. Our attempts to find the best match are partly based upon your responses to this questionnaire. Please answer the following questions with as much detail as possible. We can only adopt dogs to those in the Tampa Bay area. We are not able to ship, or transport dogs to other areas. Please contact another organization in your area by calling Greyhound Pets of America National at 1-800-366-1472.

Fields marked * are required

Name and Phone

Name:	*
Home phone:
Other phone:
Email address:

Home Address

Street:	*
City:	*
State:	*
Zip code:	*
How long at this address?

Mailing Address (if different)

Street:
City:
State:
Zip code:

Applicant Information

Occupation:
Type of residence:	House Mobile Home Condo/Apartment
Do you own or rent:	Own Rent
If renting, do you have your landlord's permission and/or does your lease allow large dogs?	Yes No
Landlord's name and phone (if renting):
Any member of the family with special needs, such as wheelchairs?	Yes No
Number of adults In household:	1 2 3 4 5+
Hours adults at home:
Number of children:	None 1 2 3 4 5+
Ages of children:
Do you intend to keep your greyhound in the house?	Yes No
Are there stairs In your home?	Yes No
What resting/sleeping space is available for your greyhound?
What outside space is available for your greyhound?
Is this space fenced?	Yes No
If yes, what kind of fence?	Chain link Privacy None
How high is the fence?	1-3 feet 3-5 feet 5+ feet
Do you have a swimming pool, lake, pond, or river in or near your yard?	Yes No

Why did you choose the greyhound breed?
Are you familiar with the greyhound breed?	Yes No
Are you looking for an active dog?	Yes No
Preferred Gender:	Female Male Either
Would you be willing to consider adopting a dog with special needs or a senior dog?	Yes No

Do you agree that your greyhound's career as a racer is over, and that you will be unable to reactivate this career?	*	Yes No
Do you agree to keep your greyhound solely as a house pet, and agree never to use it for racing, hunting, or research/experiments?	*	Yes No
Do you agree to notify Greyhound Pets of America if for any reason you find that you cannot keep your greyhound, and further agree that you will not give, sell or place the greyhound with another person or organization without Greyhound Pets of America's consent?	*	Yes No
Do you agree to keep a collar bearing identification on your greyhound at all times?	*	Yes No
Do you agree to keep your greyhound leashed when outdoors in an unfenced area?	*	Yes No
Do you agree to allow Greyhound Pets of America to do a home inspection prior to adoption?	*	Yes No
Greyhound Pets of America will follow up periodically by telephone or in person to track the progress of your greyhound and help with any problems or questions that may arise. Do you agree to this follow up procedure?	*	Yes No

If you currently own any other dogs, please list breed, sex & age:
If you currently own any cats, please list breed, sex & age:
Specify if your current pets are inside, outside or both:
If you do not currently have any pets, have you previously owned a dog?	Yes No
Do your have a veterinarian?	Yes No
Vet's name:
Vet's phone number:

References

Name:		Phone:
Name:		Phone:
Name:		Phone:

How did you learn about Greyhound Pets of America?
Have you contacted any other adoption groups or are you currently working with another group?	*	Yes No
Would you be willing to be a foster parent?		Yes No

By typing my name in the box below I hereby certify that all the information contained on this Greyhound Adoption Application is true and correct.
*