APPLICANT

Name:    Age:

Work Phone:

Occupation:

Employer:

Name:    Age:

Work Phone:

Occupation:

Employer:

Address:

Address 2:

City:

State:

Zip Code:

Home Phone:

No of Adults in Household:

No of Children in Household

Age and gender of each child

Who will be responsible for the care & training of your new greyhound?

Approximately how long would you expect your greyhound to be alone each day?

Do you own or rent? Own   Rent

Dwelling Type Single Family Apartment Condo Other  
    Type (if Other):

If you rent, Landlord's Name:

Landlord's Address:

Landlord's City:

Landlord's State:

Landlord's Zip:

Landlord's Phone:

Do you have a fenced yard?: Yes No

Fencing Type:

Fencing Material:

Fence Height:

Approx. Size of Yard:

Are there stairs in the home that the dog would have to climb?: Yes No
If yes, please describe

Would you be willing to modify your daily schedule to meet your greyhound's needs?:
Yes No

Are you aware of the importance of keeping your greyhound on a leash when outdoors?
GREYHOUNDS CAN SEE UP TO 1/2 MILE AWAY AND CAN RUN 44 MPH.:
Yes No

Greyhounds must live in the house and CANNOT be kept outdoors in a kennel or doghouse. Do you agree to keep your greyhound inside your home?:
Yes No

Will you keep a collar with a tag bearing your name, address & phone # on your greyhound at all times & notify RESCUED RACERS, if your greyhound should ever become lost?:
Yes No

Please check any of the following reasons which would cause you to return a greyhound:
Housebreaking Moving Expecting a Baby Barking Vet Bills Too Expensive Retirement Chewing Digging Separation Anxiety
Greyhound's Personality is not what was Expected

If, for any reason, you are unable to keep your greyhound, do you agree to notify RESCUED RACERS and further agree that you will NOT give the greyhound to anyone else without RESCUED RACERS consent?:
Yes No

How many dogs have you owned in the past 10 years?:

What other pets do you currently have?:

Have you ever bred or raised dogs?:
Yes No

If "Yes", what breed?:

Are you familiar with crate training?:
Yes No

If "No", would you be willing to learn more about it, get a crate and follow instructions for using a crate as a training and transitional aid?:
Yes    No

It may take several weeks for a greyhound to adjust to its new home.
Are you willing and prepared to allow your greyhound the time he/she needs to adapt to home life?:
Yes No

How long are you willing to give your new greyhound to adapt to its new home?:
2-4 weeks 1-3 months 3-6 months Other

Are you aware that during this adjustment period potty accidents, chewing or other undesirable behavior may occur?:
Yes No

If your greyhound makes a mistake, please describe what kind of correction you would use.:

How would you describe your household activity level?:
Low Moderate High

How many times do children visit your home per month?:

Why are you choosing a greyhound as a pet?:

Occasionally, a greyhound with special needs (physical restrictions or an unusual personality or preferences) is available for a good, caring home.
Would you be interested in being considered for such a dog?:
Yes No

If you have a veterinarian, please provide the following information for your vet.:
Name:  
Address:  
City:   State:   Zip:  
Phone:  

References: (Must be non-relative, not living with you and have known for at least 2 years.):

1. Name:  
Address:  
City:   State:   Zip:  
Phone:  

2. Name:  
Address:  
City:   State:   Zip:  
Phone:  

Do you understand that in order to complete the application process, an in-home visit may need to be made by a RESCUED RACERS representative?:
Yes No

Do you understand that rescued greyhounds sometimes come to RESCUED RACERS with medical conditions, and we treat all conditions that present themselves while the dogs are in our foster home network. This can include teeth extractions, cyst removals, treatment for internal parasites like hook worm and whip worm, and repair of broken legs. Please note: Our policy is "no surprises," so we inform our adopters of any existing medical conditions. At times, some of our greyhounds are listed as "Special Needs" dogs. However, some ailments don't present themselves immediately. RESCUED RACERS is a non-profit 501(c)3 organization, and we raise funds to treat ailments only while dogs are in our care. Once a greyhound is adopted, the owner assumes all future medical costs for any diagnoses made after the date of adoption.
Yes No

Do you certify that all information on the application is true and correct?:
Yes No

Please provide your email address.:
Email: