Name:           

Address:

City:

State: Choose your state: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (D.C.) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edwards Island Que'bec Saskatchewan Yukon Territory

Zip:

Phone Number (Use Area Code):

E-Mail Address: 

Alternate/ Emergency Contact:

What is the best method and time of day to reach you?

Have you researched Greyhounds and what is involved in adopting a retired racing greyhound?

Please choose one: Yes I have. No I have not.  

It is required that you read: Adopting The Racing Greyhound by Cynthia A. Branigain.

Have you applied to any other adoption groups?   Pick one Yes No  

Why do you want to adopt a Greyhound?

Is your household: Please make a selection: Busy Average Quiet

Number of Children in the household: Please pick the response that best fits you: 0 Children 1 Child 2 Children 3 Children 4 Children 5 Children 6 or more Children

Their Ages if applicable:

Have the children been taught about the responsibility of owning and caring for a dog? 

Please choose one: Yes my children have been. No my children have not.

Where will the greyhound sleep during the day? Night?

Who will be primarily responsible for the care and training of the greyhound?:

Are all family members in agreement with adopting a greyhound?

Please make a selection: Yes all family members agree No, not all family members agree.

Do you or anyone in your home have any special needs or animal allergies?

Do you live in a: Please choose a selection House Apartment Mobile Home Condominium

If you rent, do you have permission from the landlord/condo association/mobile home park to have a dog: Pick One: Yes No

 Contacts Name:

Contact Number:

Do you have a fenced yard? Please Choose One: Yes No  

If not, are you committed to walking the dog daily? 

Please choose one: Yes No

 Type and height of fence   Number of gates

Are gates locked?    Choose one Yes No I don't have a fence ~ N/A            If no, are you willing to put locks on?  Choose one Yes No I don't have a fence ~ N/A

NOTE:  A fenced yard is required for homes with children under 2 years old. 

    Team Greyhound does not adopt to homes with invisible fence.

What other pets do you have?

Do you have cats?     Please choose one: Yes I do. No I dont.

If yes, do they live?: Please choose a selection: Indoors Outdoors I do not have cats - N/A

Have you previously had pets: Please choose a selection: Yes I have. No I have not.

Reason for death or leaving?

Does your home have stairs that the Greyhound will have to climb?: Please make a selection Yes it does. No it does not.

Do you travel frequently? Please make a selection Yes I do. No I do not.

If so, who will care for the greyhound?:

How many hours per day will the greyhound be alone?:

Where did you hear about Team Greyhound Adoption of Ohio?

Is there a particular dog you are interested in? List preferences in order: (Dog's Name)

1.

2. 

3.

4.

Due to a variety of factors such as multiple requests for the same dog, incompatibility, etc., we can  not guarantee adoption of requested greyhound.  Placement is at the discretion of Team Greyhound.

Do you have a preference for gender? Please make a selection: Male Female No Preference

Sometimes, dogs with special needs (physical restrictions, unusual personality or senior dog) are available for adoption. Would you be interested in being considered for a special needs dog?:

Please make a selection: Yes I wish to be considered. No I do not wish to be considered. I really have no prefrence.

Would you be interested in adopting a senior dog (age 8 or over)? Yes I would be interested No I would not be interested I really have no prefrence

THINGS YOU NEED TO KNOW BEFORE ADOPTING A GREYHOUND.

INCONSIDERATION OF THIS APPLICATION I/WE AGREE TO THE FOLLOWING:

Please check each box if you agree.

I/we will keep the greyhound on a leash or in a securely fenced area at all times.

I/we understand and agree that the greyhound cannot be tied out on a leash or chain.

I/we will provide indoor living quarters for the greyhound.

If necessary, I/we agree to crate the greyhound as recommended

I/we agree to assume responsibility for the health and well-being of a retired racing greyhound and will provide food and regular veterinary care, including heartworm preventative, annual shots, and dental care.

I/we understand and agree that the adoption of a greyhound will require a pre-placement home visit and subsequent follow-up checks.

I/we understand that greyhounds live 12 to 15 years and are willing to commit to caring for the dog for this period of time.

I/we understand and agree that if for any reason I/we cannot keep the greyhound, it will be returned to 

Team Greyhound Adoption of Ohio, Inc.

I/we understand and agree that if I/we put down a non-refundable deposit to hold a dog(s) and I choose not to adopt the specific dog(s) for which the deposit was intended, I forfeit the deposit.

I/we understand and agree to pay a $225.00 ($150.00 for senior dog) non-refundable fee at the time of adoption.

I/we understand that we may be required to travel a reasonable distance to pick up our dog.

REFERENCES

Provide the names, phone numbers and email of three references, not related to you, who can attest to your ability to care for a dog.  Family members are not considered valid references.  All three references must be submitted before we can process your application.

1.Name  Phone

    Email

2.Name Phone

    Email

3.Name Phone

    Email

Please provide name and # of Veterinarian(s) for any pet(s) LIVING or DECEASED.

Name of Veterinarian:

Phone Number:

Other Veterinarian:

Phone Number:

Owner's name and pet's name (s) under which your records are kept:

After Completely filling out the above form, Simply click submit and your application will be sent for processing.  If you do not receive an email within 48 hours stating that your application was received, please contact Maria Carney

*** If you have any problems submitting your application, please check to be sure you've filled in all fields as they are mandatory.  If certain areas do NOT apply to you, please enter N/A in that particular area.  

If you have fully completed the form and are still having issues, please e-mail Maria Carney