Greyhound Pets of America - Senior Sanctuary of Florida
 19520 Paso Fino Way - Dade City, Florida 33523
Phone 727.430.0456  or 352.686.1752  Fax 813.715.0635
E-mail: info@gpaseniorsanctuary.org
 

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Adoption Application

Pet ownership is a serious responsibility. It is the policy of GPA Senior Sanctuary to assure that every person who adopts a Greyhound not only be aware of that responsibility, but that each person will be capable of and willing to accept that responsibility, morally, physically and financially. It is quite true that not every person who desires to own a pet should own a pet.

The following questionnaire has been designed to aid both you and GPA Senior Sanctuary in deciding if you and/or your family are ready for the responsibility.  Note: Applications are GENERALLY processed within 48 hours. Please refrain from filling out an application until you are ready to bring your greyhound into your home.

Applicant:  Co-Applicant:

Street Address:  

City:   State: Zip: Home Phone:

E-mail Address:     Work Phone: 

Applicant's Employer:  Job Title:

Co- Applicant's Employer: Job Title:

 
About You and Your Family
 
What is the total number of people living at your home?
 
*Number of Children:  Ages:

*Note: If you have children under the age of 8, you will be encouraged to read the book Childproofing your Dog by Brian Kilcommons.  We also do not regularly adopt to families with children under the age of 3.  However, this may be decided on a case-by-case basis.

Ages of children/grandchildren that regularly visit?

Any family members with special needs, such as wheelchairs?        

Have you or your family ever seen or met a greyhound?

If so, where?

Your Home

 
In which type of home do you live?  
 
Do you own or rent?  

If an apartment, condo, or a homeowners association, do you have written permission for a dog over 55 pounds?   
(Prior to adoption we will need oral and written verification from the landlord/property manager)

How long have you lived at your current address? 

Are there stairs inside your home?    If so, how many?

Are there stairs outside your home?    If so, how many?

Do you have a completely fenced yard?

Approximate size of fenced yard:

Fence height at lowest point?

Are there any fence repairs/alterations needed?  

Do you have a swimming pool, lake/pond, or river in or near your yard? 
 
 
List the pets you currently have in your household:
Type/Breed Neutered? Sex? Age? Personality Type? All that apply (Shift-Click) Vaccines current? Inside/Outside?
 
 
 
 
List the previous pets you have owned in the past 10 years:
Type/Breed Neutered? Inside/Outside? Time Owned? What happened to pet & at what age?

Your Lifestyle

Do you expect any major lifestyle changes in your home during the next year (new job, schedule changes, new baby, etc)

What is the activity level of your household?
 

How many hours per day will your Greyhound be left alone?  

Will there be any rooms your greyhound will not be allowed in? 

What resting/sleeping space is available for the dog during the day?

What resting/sleeping space is available for the dog during the night?

What would you consider a valid reason for giving up your greyhound?  
All that apply (Shift-Click)

Other:

References
 
Please list two references (other than family members) that you have known over 3 years.
Please include the name, address, and phone number.

Your Veterinarian

Please provide us with your Vet's information.  Name: 


Phone: Address: 

How long has your vet been treating your pets?
We will be contacting your vet if you have pet(s) in your home currently.

Do you agree to the following statements:

  • Keep your greyhound on a leash, or within a fenced area.  
  • Keep a GPA/GPA Senior Sanctuary ID tag on this pet at all times. 
  • Keep current your greyhound's vaccinations and use heartworm preventative. 
  • Notify GPA/GPA Senior Sanctuary if the dog is lost or stolen.        
  • Do you agree to keep the greyhound solely as a house pet, and agree to never use it for racing, hunting, or research/experiments? 
  • For any reason, if you are unable to keep your greyhound, do you promise to notify and return it to us and not place the greyhound in a shelter or with anyone else without written permission from the GPA/GPA Senior Sanctuary President?        
  • I intend to let my greyhound live in the house with me.  

 

  • I HEREBY CERTIFY THAT ALL THE INFORMATION CONTAINED ON THIS FORM IS TRUE AND CORRECT.
    Applicant Name:
    Co-Applicant Name:


    Date: 

     
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