Name   Date 

Address

City  State    Zip 

Home Phone   Work Phone  

Email address

*AGR will never sell or rent your email address or other contact information.

Employer/Occupation

1.  How did you  hear about us?

2. Do you have any other pets? yes   no

Pet 1   Breed  Age Sex -- Male Female
Personality

Pet 2  Breed  Age Sex -- Male Female
Personality

Pet 3  Breed  Age Sex -- Male Female
Personality

Pet 4  Breed  Age Sex -- Male Female
Personality

3. Have you ever had to return/give up a pet? yes   no 

    State  reason:

4. Have you had any  previous pets?  yes   no  If yes, what happened to them?

5. Why do you want a Greyhound?

6. Do you have any preference  regarding age, sex, or color?

7. What personality  traits/temperament are you looking for in a Greyhound? 

8. Is you household  busy or quiet?

9. How many adults/children  are in your home?  

    Adults 0 1 2 3 4 5+

    Children 0 1 2 3 4 5+ State age in text box below:

10. Do you own a home  or rent? -- Own Rent   

 Landlord's name: Landlord's phone number:

11. Do you have a completely fenced-in yard?  yes   no  

State  height and approximate area

12.  How long would  the dog be left alone each day?

Please select yes or no:

• Do you agree to keep your Greyhound indoors (not in a garage, basement, etc.)?  
  yes   no

• Do you agree to keep your Greyhound on a leash at all times when outside a fenced area?
  yes   no

• Are you willing and  able to walk your Greyhound at least once a day?
   yes   no 

• Do you promise to keep a collar bearing your name, address, and telephone number on your Greyhound at all times?
  yes   no   
   
• Are  you willing to allow visits by Arizona Greyhound rescue to check  on your dog, and do you understand that we may repossess it  if it is not receiving adequate care?
  yes   no 
   
• Do you agree to keep your Greyhound solely as a house pet, and not attempt to use it  for racing, hunting, or research?
  yes   no 

• Do you agree to give your Greyhound time to adjust to his new home and to use a crate  if needed?  
  yes   no 

• Are you willing to contact Arizona Greyhound Rescue for suggestions and assistance if any behavior problems arise?
  yes   no 

• Do you understand  that, if for any reason you cannot keep your Greyhound, it is  the property of  Arizona Greyhound Rescue and shall be returned to this adoption group? 
  yes   no 
   
• Are you willing to commit to the care and responsibilities of owning a Greyhound, including all   veterinary and health care expenses  for the 12-14 years that your Greyhound may live?  
  yes   no 
   

I understand that it is Arizona Greyhound Rescue's charter to place greyhounds in appropriate  homes. I recognize that greyhounds as a breed are not suitable for  every lifestyle and that specific hounds may not be a match for  certain homes. I agree to abide without protest by any and all decisions  made by Arizona Greyhound Rescue in this regard.
I agree     I disagree
 

Please list the specific reasons why you consider yourself an excellent candidate for owning a retired racing greyhound:

Please list any and  all concerns you may have regarding the responsibility of owning a retired racing greyhound (we would like to alleviate any unnecessary concerns and/or offer potential suggestions to consider in this  important decision):

Veterinarian Phone

I do hereby certify that the information provided herein is true and correct.
  yes   no