Adoption Application – Greyhounds In Motion

Adoption Application
Ownership of a Greyhound/Galgo/Podenco is a serious responsibility requiring a life-long commitment.

Our thorough adoption process enables us to place our dogs in the wonderful homes they deserve. Please fill out the following application with as much detail as possible. NOTE: This application cannot be saved, so please do not close your browser window until you’ve submitted.

Primary Applicant

Name*

Email Address*

Phone Number*

Secondary Applicant (optional)

Name

Email Address

Phone Number

Permanent Address*

City*

State*

Zip Code*

Your Family

Do all members of the family agree to a new dog?*
YesNo

Are there any allergies in the family?*
YesNo

Please explain any allergies that would effect you owning a dog.

How many adults are in the home?*

How many children are in the home?*

Please list the ages of the children

Please list the occupations of the adult(s) in the home.*

Your Home

Describe your type of residence.*

How long have you been at your current address?*

Do you own or rent your place of residence?*
OwnRent

If you rent, list your landlord's name, address, and phone number below.

Do you live in a covenant-controlled or otherwise restricted community?*
YesNo

If so, please provide the pertinent contact information for your homeowners association or governing body.

Is your yard fenced?*
YesNoI don't have a yard

What is the height of the fence (at its lowest point)?

What is the material of the fence?
WoodIronMasonryChain linkVinylOther

Since you don't have an enclosed yard, what sort of exercise will your dog receive?

Your New Dog

Who will be responsible for the care and training of your dog?*

Approximately how many hours would your dog be alone each day?*

If over 8 hours, what accommodations will you make for the dog to relieve itself during the day?
Dog SitterPet SitterDog WalkerDoggy Day CareOther

What arrangements will be made for your dog when you travel or if you are absent from your home for an extended period of time?*

What is the activity level of your household?*

Do you crate your dog(s)?*
YesNo

Where will your dog sleep?*

What is your estimated yearly expense of owning a dog, and what does this figure include?*

Your Current & Past Pets

Do you currently have pets?*
YesNo

Please lists all of your current pets, including: name, species, breed, age, and temperament.*

Please lists all of the pets that you've owned in the past 5 years, including their: name, species, breed, and what became of them.*

Have you ever adopted a pet from a shelter or rescue group?*
YesNo

Please list names of groups/shelter, including city and state:

Have you ever surrendered an animal to a shelter or rescue group?*
YesNo

When were the animal(s) surrendered and for what reason?*

Your Dog's Wellness

Do you have a veterinarian?*
YesNo

Your Veterinarian*

Is your veterinarian familiar with the special requirements and needs of sighthounds?*
YesNoI don't know

Do you agree to:

Be responsible for any and all medical costs upon your dog’s arrival?*
YesNo
Abide by the local ordinances pertaining to animal/pet ownership?*
YesNo
Immediately notify GiM should your dog become lost or stolen?*
YesNo
Contact GiM if you unable or unwilling to keep your dog?*
YesNo
Keep your dog leashed at all times outdoors in an unfenced area?*
YesNo
Keep your dog as an indoor family pet?*
YesNo
Not seclude the dog in a garage, basement, or other area away from the family?*
YesNo
Keep a tag collar on your dog at all times with identification, including: address, phone, rabies tag, and license?*
YesNo
Keep a GPS collar on your dog at all times (costing approx. $10 per month)?*
YesNo
Have an annual Leishmaniasis test performed (costing approx. $150)?*
YesNo
Keep your dog on heartworm and flea & tick preventative?*
YesNo

Final Considerations

Why do you want to adopt a dog?*

Do you agree to a home visit to be conducted by a GiM representative?*
YesNo

Is there any information that you feel is important that would affect your suitability as an adopter? Please use the space below for any additional information.

Do you follow GiM on Facebook?
YesNoI don't use it
What is your Facebook account name?

Do you follow GiM on Instagram?
YesNoI don't use it
What is your Instagram account name?

How did you learn about GiM?

I understand and agree to the need for screening of adopters. I certify that the information supplied on this application is true and correct. Checking this box is the same as signing your signature.

Greyhounds in Motion reserves the right to approve or disapprove any and all adoption applications. Please allow up to a week before checking in with us about application status.

Greyhounds in Motion is a 501c3 registered charity.

After your application submission, we'll ask you to provide photographs of your home, fencing and current pets.