Are you interested in adopting a greyhound from BRGA? Please complete this form, or you may download the PDF version of the form, fill it out and mail to BRGA.

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Name:*

E-Mail Address:*

E-Mail Address again:*

Please enter your E-mail Address a second time.

Date:*

Applicant's Name:*

Applicant's E-mail address:*

Co-Applicants Name:

Home Address:*

City, State, Zip*

Home Phone:*

Work Phone:

Applicant's Occupation

Applicant's Employer

Co-applicant's Occupation

Co-applicant's Employer

1. Why do you want to adopt a retired racing greyhound?

2. How did you hear about Blue Ridge Greyhound Adoption?

3. Have you applied to any other greyhound adoption group? If so, to which group did you apply?

4. Your preferences as to age, sex, and color?

5. What other pets do you have?

6. What other pets have you had in the past and what happened to them?

7. For what reason would you consider giving up a pet? (Biting, chewing, destructiveness, digging, moving, expense, having a baby, too rough with children, housebreaking problems, other?)

8. Number of adults in your household and hours at home:

9. How many children in your home? Their ages?

10. Who will be the primary caretaker of your greyhound?

11.What experience have you had with dog training?

12. Are you aware that a large dog can cost at least $500 per year for basic care?

13. Do you travel regularly? If so, what would you do with your greyhound when you travel?

14. Do you anticipate any lifestyle changes in your household?

15. If you move, what would you do with your greyhound?

16. Is there a safe area near your home where you can take your greyhound for a long walk at least twice a week?

17.Describe the area in which you live:

City
Suburban
Rural

18. Dwelling type:

Single Family
Apartment
Condo
Townhouse

19. Do you own your home?

Yes
No

20. If you rent - does your rental lease permit a dog over fifty pounds?

Yes
No

21. Do you have a completely fenced yard?

Yes
No

If Yes, what is the size of the fenced area? Height of fence?

22. Please describe the importance of keeping a retired racing greyhound on a leash when outdoors in an unfenced area:

23.Are you able to take a greyhound outside to relieve itself at least four times a day? What is the maximum time a greyhound would be left alone?

24. Are you aware that your greyhound needs to be kept indoors? Where will the greyhound stay during the day? At night?

25. If the greyhound will have to climb stairs, describe (including covering):

26. Are you agreeable to a home visit prior to adoption?

27. Please add any information or comments that might help us in placing a dog in your home:

28. References: (should not be family members). Please include the name and phone number of a friend:

A neighbor:

Current Veterinarian (please include name, address and phone number)

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