REGAP - Rescued Greyhounds

ADOPTION FORM

* denotes required field

Your Name

Street address

City

State/Territory

Zip/postal code

Phone (please format as XXX-XXX-XXXX)

Best time to call

Employer

Employers phone

Occupation(s)

Can we contact you at work for short calls? *

Yes

How did you hear about REGAP? *

Are you working with or have you applied to other groups? *
Yes No

If yes, explain

What other pets do you have now? *
Please describe their ages, personalities, and whether they are spayed or neutered.

If you currently have a dog(s) are they uptodate on vaccinations, heartworm test and heartworm medication?
Yes No
If no, please explain.

Where do you keep your pets when you are not home? *

How long will your greyhound be home alone? *

What pets have you had in the past? Why are they no longer with you?*

Have you ever given up a pet? *
Yes No
If yes, explain circumstance.

Under what circumstances would you give up a pet? *

10.

Please select the type of dwelling in which you reside.*

11.

Does your current residence have stairs? *
Yes No

12.

Do you own your residence? *

Yes

If not, enter Landlord / property management group:

If renting or belong to an association are dogs allowed?
Yes No

Are there restrictions on number of pets allowed or size?
Yes No
If yes, explain

13.

Do you have a fenced in area where your greyhound can safely be let out without having to be led out?*

Yes

If yes, Describe fence and size of fenced area . If no, why?

If no, are you willing to fence in an area for your greyhound?
Yes No

Regap may inspect your fence to make sure it is appropriate for a greyhound.

14.

Do you plan on using an electric fence or any type of tie out system for your greyhound? *
Yes No

15.

Do you live on a busy street or thoroughfare? *
Yes No

If yes, explain.

16.

Please list the names and ages of the people in your home, including yourself. *

17.

Do all adults in the household agree on adopting a greyhound? *
Yes No

18.

Will greyhound have any exposure to children either now or in the future? *

Yes

If yes, please explain:

19.

Do you run a Day Care for children in your home or any other place where your greyhound will come in contact with the children? *
Yes No

If yes, explain

20.

Do you agree to always keep your greyhound on a leash or within a fenced area? *

Yes

21.

Do you intend in future years to train your greyhound
to be let off his leash in an unfenced area? *

Yes

22.

Where do intend on having your greyhound sleep? *

23.

Is there a swimming pool in your yard? *

Yes

If yes, describe.

24.

Will your greyhound have the opportunity to be taken
outside to relieve his/her self four to six times per day? *

Yes

25.

Do you agree to keep a collar bearing identification on your greyhound at all times and notify REGAP at once if your greyhound should ever get lost?
And, do you agree to notify REGAP if you cannot keep your greyhound and to never give your greyhound to a pound, shelter, or any other person or group? *

Yes

26.

Have you done any reading or research on greyhounds? *
Yes No
If yes, briefly explain.

27.

Briefly explain what you know about greyhounds. *

Would you say that you have experience with an animal that posed special behavioral or medical challenges? *
Yes No
If yes, please explain:

28.

Why do you want to own a greyhound? *

29.

Are you willing to provide annual vaccinations, heartworm test and heartworm medication as prescribed by your vet? *
Yes No

30.

Under what circumstance would you seek veterinary care for your pet other than standard care? *

31.

Please provide the following info about your current veterinarian: *
Name, address, telephone.

32.

Please provide one reference: *
Name, Address, Telephone and occupation

33.

By sending this application I certify that the above information is true and complete.

Yes

Submitting this application is FREE of charge.
However, should you adopt a greyhound, the minimum donation is $225.

Questions marked with * indicate a required field that must be completed in order to submit this form.

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