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.

1. Do you have any other pets? yes   no

2. Are they spayed or neutered? yes   no
If no please explain.

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

4. Is you household  busy or quiet?

5. 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:

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

 Landlord's name: Landlord's phone number:

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

State  height and approximate area

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

9. Will you be able to transport the dog to tabling and other events? yes   no  

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

• 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
   

Please list any and  all concerns you may have regarding the responsibility of fostering a retired racing greyhound (we would like to alleviate any unnecessary concerns and/or offer potential suggestions to consider in this  important decision). Please also include any other information pertinent to your application for fostering.

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