Couch Potato Greys

Couch Potato Greys Adoption Questionnaire

 Application date submitted:

Adult Applicant:                                                      Second Applicant:

Age:                                                                       Age:

Address, city, state, zip

Home phone:                                                        E-mail address:

Employer:                                                              Employer:

Work phone:                                                          Work phone:

Number of children at home:

Ages & sex of children:

What other pets do you have? (breed, age):

Are your current pets spayed or neutered ?

If not please explain :

Are you willing to assume responsibility for the lifetime medical needs of your greyhound ?

Have you ever owned a greyhound before ?          If so, where was it obtained ?

If you are a previous greyhound owner, what became of it?

How many hours would the dog be alone each day?

Greyhounds ar strictly indoor dogs. do you agree to keep your dog inside at all times, except for occasional trips outside for exercise and relief?

Do you understand why a greyhound must NEVER be allowed off the leash except in a secured fenced area?

Would you consider crating your greyhound while you are gone?

Do you own a crate?                  If not, will you obtain one?

How many pets have you owned in last 10 years?          Please list breed, sex, and age: If you know longer own the pet explain why.

Have you ever had to return or give up a pet?              If yes, plese explain in detail.

 What would constitute a reason to return an adopted greyhound?

 If your lifestyle changes, will you take the steps necessary to keep your greyhound?

Have you ever bred, raised or trained a dog?        If yes, please explain.

Do you know the laws regarding dogs in your area?        Are the dogs required to be vaccinated against rabies?

Please list Veterinarian's name, address and phone number:

If you do not have a vet, would you be willing to use one that we recommend? 

Please list two personal references that you have known for more than two years.

Name:                                                               Name:

Street:                                                               Street:

City/State/ Zip:                                                  City/State/Zip:

Home Phone:                                                   Home Phone:

I / we understand that in order to complete the process of this application, a visit to my house may be scheduled by a Couch Potato Greys representative to assist in matching the needs of a greyhound to my lifestyle. By submitting this application, I agree that the information in this application is true and correct, and understand that my signature on this application constitutes agreement to a legal and binding contract.

Signature:                                                                             Date:

Signature:                                                                             Date: