Name

Spouse

Street Address

City

State

  CA AZ NV OR    

ZIP

Home Phone

Best time to Call

E-mail Address

Occupation

Employer

Work Address

Work Phone

Please provide three non-family references who have known you for at least five (5) years:

Name

Phone No.

Name

Phone No.

Name

Phone No.

How did you learn about the SoCalGAL Greyhound adoption program?

A. Do you understand that this is an adoption application for an ex-racing greyhound and may also be an ex-Hemopet blood donor?   Yes No    

B. Do you intend for your Greyhound to live in the house with you?               Yes No      If not, explain where you intend to house your Greyhound.

C. Why do you want to adopt a Greyhound for a pet?

D. Why do you believe that you will be a good parent for a Greyhound?

E. What are the most important personality traits and characteristics you feel a dog should possess?

F. What is the activity level of your household? (e.g.: hobbies, entertainment, etc.):

G. What other Pets do you have in your household?

H. Have you owned dogs in the past?     Yes No      If so, give a brief history of each dog, including Breed and why you no longer have the dogs).

I. Do you own your own home?                Yes No      If not, does your landlord allow dogs?  Yes No Restrictions    

J. Your Landlord or Property Managers Name:    

K. Their Phone:

L. Do you have a fenced yard or pet exercise area?               Yes No    Please describe it and the means you use to insure your Greyhounds safety and well being.

M. Is there someone home during the day?               Yes No    If not, how long would your Greyhound be alone each day?

N. During any absence of family supervision, how will your Greyhound be managed?

O. Please list the names and ages of all family members residing in your household

P. Your Veterinarian

Name

Address

Phone

I/we certify that the above information is accurate and complete to the best of my/our knowledge. I/we authorize Hemopet, Greyhound Adoption League or SoCalGal to contact each of the above references and Landlord.

Applicant's Signature (Digital OK):

Applicant Date Signed:

Spouse's Signature (Digital OK):

Spouse Date Signed: