| Name (please include spouse's name): |
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| E-Mail address: |
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| Address: |
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| City: |
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| State |
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| Zip Code: |
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| Home phone number: |
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| Best time to call: |
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| Work phone number: |
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| Please do not call me at work: |
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| Your occupation: |
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| Spouse's occupation: |
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| Total number of adults at home: |
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| Total number of children at home: |
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| List names and ages of children living in the home (Please
note that if you have children under the age of eight, you will be encouraged to read the book entitled Childproofing
Your Dog by Brian Kilcommons & Sarah Wilson.): |
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| List names, ages, and relationships of all other persons
living in the home: |
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| How did you hear about greyhound adoption? |
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| Why do you want to own a greyhound? |
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| What is the activity level of your household? |
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| Where will your greyhound sleep at night? |
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| Where will your greyhound be during the day or when
you are not home? |
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| How long will the greyhound be alone during the day? |
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| Please specify any other pets you have: |
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| Are they altered? |
Yes No |
| Where do your current pets spend the day? |
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| Please specify any other dogs you have previously owned
(size, breed, sex): |
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| How long have you had these pets and what happened to
them? |
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| What kind of a home do you live in? |
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| Do you own or rent? |
Own Rent/Lease |
| If you rent or lease, do you have permission from your
landlord to have a large dog? |
Yes No |
| If asked to do so, can you provide your landlord's phone
number or written permission from your landlord? |
Yes No |
| If you have a completely fenced-in yard, approximately
how tall is your fence? |
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| What type of fence is it? |
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| On a scale of 1 to 5, how would you rate your knowledge
of dog behavior? |
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| Does your family anticipate any major lifestyle changes
in the next year (such as retirement, travel, new baby, moving, new job, etc)? |
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What do you consider valid reasons for giving up a pet
(Hold CTRL for multiple selections, CMD on Macintosh) |
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Other
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| After you adopt, would you be willing to answer an occasional
questionnaire about your new dog? |
Yes No |
| Are all members of the household in total agreement
with this adoption? |
Yes No |
| Occasionally, an "older" greyhound or a greyhound
with "special" needs is available. Would you consider adopting such a dog? |
Yes No |
| Do you currently have a veterinarian? |
Yes No |
| If yes, please give your veterinarian's name: |
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| Address: |
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| Phone: |
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| Have your read Retired
Racing Greyhounds for Dummies by Lee Livingood? |
Yes No |
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