Online Adoption Application Prison Greyhounds Adoption Application Prison Greyhounds Adoption Application Name(s) of all ADULTS in the home: * Age(s) of each adult (Minimum age is 25 to adopt.): * Have you read our Adoption Process page on the website? * Yes No Relationship to each other: Names and ages of children/minors in the house: * Street Address: * City: * State: * Zip: * Phone Number: * Best time to call? Alternate Phone Number: Best time to call? Email address(es): * Occupation(s) / Place of employment for all adult applicants: * List any mutual acquaintances for additional references? Do you have an attached fully fenced yard? * Yes No How tall is the fence? What type? * Have you ever visited one of our events? * Yes No Which one(s) Select type of home you live in: * House - I/We ownHouse - I/We rentDuplex - I/We rentTownhouse - I/We ownTownhouse - I/We rentCondo - I/We ownCondo - I/We rentApartment - I/We rent Do you have landlords permission to adopt? * Yes No Not sure Landlord's name: * Landlord's phone: * Do you plan to walk your dog? If so, when and how often? * Is there an in-ground pool? * Yes No Is it fenced off from pets? * Yes No Do you have a pool hard cover? * Yes No The activity level of your household is: * Quiet Average Active Very Active Can everyone be present for a home visit? * Yes No Let's discuss Does anyone have special needs? (Including pets) * Yes No If Yes, please explain: * As an adult, how many dogs have you owned? * Were any of them greyhounds or lurchers? * Yes No How many and from what group(s)? * Did you ever surrender an animal to a shelter or rescue? * Yes No If yes, Please explain: * List all CURRENT pets: (name, breed, age): * List your current veterinarian. NOTE: We can suggest a greyhound savvy veterinarian in your area: Veterinarian's phone: What brand heartworm preventive do you currently use on your dogs? The field trial racing greyhound lurchers (a mix) that we adopt out are a specific type. We require applicants to watch the video “Introduction to The Greyhound Lurcher”, on our website. Have you completed this? * Yes No We require that you read our Adoption Handbook before delivery of a dog. (It can be downloaded from the ADOPTION PROCESS on our website.) Have you read our handbook? * Yes, I have read it I am reading it now No, I have not read it Please mark any anticipated lifestyle changes over the next 12 months: * New job Extended travel New baby Married Divorced Moving Change in schedule Retired Other (please explain)Other (please explain) None How long will the hound be alone daily? * How long between potty breaks? * Are you willing to purchase a crate 48L x 30W x 33H (or larger) for your dog's transition time? We do not allow plastic airline crates. However, be prepared to transition your hound from being crated all day, after he proves trustworthy. Your hound may do better in an exercise pen (42” tall, and 4’ x 4’ wide) instead of a crate while he transitions. * Understood Need to discuss with Adoption Representative Where will the greyhound lurcher sleep at night? * Where will the lurcher be when you are gone from home during the day? * Understand that our hound needs time and patience to adjust. * Agree Let's discuss Keep our hound on leash unless in a secure fenced area. Never tether the hound. No retractable leash. No electric or invisible fences. * Agree Let's discuss Never discipline a hound by hitting him. No electronic correctional collars. * Agree Let's discuss Keep our hound up to date on vaccinations, monthly parasite prevention and provide veterinary care when needed. * Agree Let's discuss At no time, under any circumstances, shall Adopter give, sell or transfer ownership to another person or organization, such as: animal shelter, dog pound, research clinic, or individual. If Adopter becomes incapable or unwilling to care for greyhound as described in this contract, Adopter shall immediately return dog ONLY to Prison Greyhounds (PG). * Agree Let's discuss ABANDONMENT: in the event that Adopter leaves hound in the care of another person/kennel/facility and fails to return for hound within 10 days after the scheduled pick up date, and fails to communicate with the caregiver regarding the delay, PG may, in its sole discretion, reclaim and take possession of the hound. PG will provide Adopter with written notice (by certified mail, return receipt requested) advising the Adopter of the status of the hound and requesting that Adopter contact both caregiver and PG. If the Adopter fails to contact PG within 10 days of receipt of notice, PG may take possession of dog from caregiver and the Adopter surrenders all rights to the dog. * Agree Let's discuss Dog must wear identification tag at all times (even if microchipped) * Agree Let's discuss Adopter agrees to promptly notify PG if hound becomes lost or stolen. * Agree Let's discuss (HOLD HARMLESS AGREEMENT) : I agree that the hound is being adopted for me my immediate family at this address. I understand that this hound will not be sold, adopted, given to another party or otherwise released from my care unless extreme circumstances require the same. I agree that if at any point, I cannot keep the hound for any reason; I must return the dog to Prison Greyhounds (PG) without requesting return of the adoption fee. I agree with PG's assessment that the animal is in good health. I understand that health problems may exist that have not been identified by PG's or my inspection, and that PG does not make any expressed or implied guarantees relative to the health or temperament of the animal. I will not hold Prison Greyhounds responsible for any medical charges, if this dog becomes ill after adoption. I am financially able to provide for this pet and to provide a good home; obtain medical attention when needed (including proper immunization), give nutritional food and water daily. I have proper facilities inside and outside my home for this pet. In consideration for being allowed to adopt a pet from Prison Greyhounds, I hereby assume all risk of injury and/or loss of property that may result to me. I hereby hold harmless; and I release and forever discharge Prison Greyhounds, its board, volunteers, foster homes, and any veterinarian treating the greyhound at the request of PG, from any and all claims and actions, including, but not limited to losses, liabilities, damages, costs, and expenses arising from bodily injury or property damage resulting from the adoption, whether personal injury to me, my family members, third parties, or other animals. Animal behavior is unpredictable and animals may injure people, other animals or property. * Agree Do not agree Is there anything else you want us to know? Typing your name below constitutes a legal agreement to the Adoption Application (all parties must sign individually). Adopter's Signature * signature keyboard Clear Date * Adopter's Signature signature keyboard Clear Date Captcha Submit If you are human, leave this field blank. Δ