Puget Sound Greyhound Adoption 

Adoption Application 

At Puget Sound Greyhound Adoption, we strive to place greyhounds into homes that will benefit both the dog and the pet owner.  Our attempts to find the best match are partly based upon your responses to this questionnaire.  Please answer the following questions with as much detail as possible.  Return this form to your local PSGA representative as soon as possible.

 Name:_________________________________________________ 

Spouse:________________________________________________ 

Address:_______________________________________________________________

Mailing Address (if different):______________________________________________ 

Home Phone:_______________________ Work Phone:________________________ 

Employer:______________________________ Occupation:___________________

 Spouses Employer:______________________ Occupation:____________________ 

Why do you want to own a greyhound?

_______________________________________________________________________ 

What characteristics do you desire in a greyhound (sex, size, etc.)? 

_______________________________________________________________________ 

How did you learn about PSGA?________________________________________________ 

Number of adults in household and hours they are home:_______________________ 

Number of children in household and ages:____________________________________ 

Any family member with special needs, such as wheelchairs?___________________ 

Where do you live? House:____ Condo:____ Apartment:____ Mobile Home:_____ 

Do you: Own____ or Rent_____? How many years at present address?_______ 

If you rent, what are the rules for pets?____________________________________ 

Do you have permission from the landlord and/or does your lease allow you to have a large dog? 

YES_____ NO_____ Landlords name:______________________________ 

Phone number:__________________ Address:__________________________________

 Do you object to an inspection of the premises by a PSGA representative? 

Yes_____ No_____ 

Are you willing to crate the dog when it is alone? Yes_____ No______ 

Do you own or have access to an airline kennel, dog cage or crate? Yes____ No____ 

What resting/sleeping space is available for the dog?________________________ 

What outside space is available for the dog?_________________________________ 

Is that space fenced? Yes____ No____ What kind of fence?_______________ 

How high is the fence?___________ 

Is there a fenced area nearby where you can exercise the greyhound once or twice a week?

 Yes____ No____ Where?_________________________________________________ 

Are you aware of the importance of keeping your greyhound on a leash when outdoors in an unfenced area? Yes_____ No_____ 

Do you intend to keep your greyhound in the house? Yes______ No______ 

Are there stairs in your home? Yes____ No_____ 

Are you willing and able to walk or let the greyhound outside to relieve him/herself 3-5 times a day? Yes_____ No_____ 

If your lifestyle changes, will you still care for the dog? Yes_____ No_____ 

From time to time we have a dog to place that is injured, having a broken bone or dropped muscles. Would you be willing to consider adopting an injured dog? Yes_____ No_____ 

Do you agree to keep a collar "bearing identification" on the greyhound at all times? 

Yes_____ No_____ 

Do you agree to notify PSGA if for any reason you find that you cannot keep the greyhound, and further agree that you will not give or sell the greyhound without PSGA's consent? 

Yes_____ No_____ 

Do you agree to keep the greyhound solely as a house pet, and agree to never use it for racing, hunting, or research/experiments? Yes_____ No_____ 

Are all members of the household in TOTAL AGREEMENT about adopting a greyhound?

Yes_____ No_____ 

Do you intend to obedience train the greyhound? Yes_____ No_____ 

Do you have a swimming pool, lake/pond, or river in or near your yard? Yes_____ No_____

Are you aware the greyhound's career as a racer is over, and that you will be unable to reactivate this career? Yes_____ No_____ 

What pets do you currently own?

 ________________________________________________ 

If you currently own other pets please list breed/type, sex, age:

 _______________________________________________________________ 

If you don't currently have pets, have you previously owned a dog? Yes____ No___ 

If yes, what breed(s)?__________________________________________________________ 

How was the dog(s) obtained?___________________________________________

What were the ages when obtained?________________________________________ 

What became of the dog(s)?__________________________________________________ 

Have you ever bred and raised dogs? Yes_____ No_____ Do you have a veterinarian?

 Yes____ No____ If yes, Name and Address of vet:

 ________________________________________________________________________________ 

Please give two references. Your vet can be one reference. Name, address, phone:

 ________________________________________________________________________________ 

________________________________________________________________________________ 

I hereby certify that all the information on this greyhound adoption application is true and correct: 

Signature of Applicant:______________________________________________________ 

Date:_____________________________