Application

Kind? Cat, Dog, Etc.

Personality Type? All that apply (Shift-Click)

Vaccines current?

Kept where?






	2825 Siletz Highway - Lincoln City, OR 97367 541.994.6047

Adoption Application

Pet ownership is a serious responsibility. It is the policy of Coastal Oregon Greyhounds 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 Coastal Oregon Greyhounds in deciding if you and/or your family are ready for the responsibility.

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:

Why do you want to adopt a Greyhound?

How long have you considered this decision?

How did you hear about our organization?

Approximately what date would you be ready to bring your new greyhound home?

Do you have a preference as to male or female? If so, why?

Do you have a preference as to color?

The majority of Greyhounds coming into this program are between the ages of 2 and 5.
Would you consider a Greyhound younger than 2 years old? Older than 5 years old?

Note: It may not be possible to accommodate all requests.

List the pets you currently have in your household:

List the previous pets you have owned in the past 10 years:

Kind? Cat, Dog, Etc.	Neutered?	Kept where?	Time Owned?	What happened to pet?

What is the total number of people living at your home?

Do all members of your household agree to this decision?

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

Number of Children: Ages:

Are your children good with animals?

Note: Our general policy is not to place greyhounds with children under 6 years old.

Any family members with special needs, such as wheelchairs?

Who will be primarily responsible for the care of your Greyhound?

Are you willing to spend the time and effort required to acclimate the greyhound to its new home?

Are you willing to crate your greyhound during this adjustment period?

What experience have you had with dog training?

What methods were used?

Are you aware that the cost of basic care for a greyhound will be at least $500 per year?

You could easily have your Greyhound 12-15 years. Are you prepared to assume responsibility for that long?

How often do you travel?

What dog care arrangements will be made when you travel?

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

In which type of area do you live?

In which type of home do you live?

If an apartment, condo, or a homeowners association, do you have permission for a dog over 50 pounds?

Landlord's Name Phone number:

Do you have a completely fenced yard? (not required) What size?

Fence height at lowest point?

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

NEVER keep your greyhound outdoors on a chain. It can break its neck!

Are you aware of the importance of keeping your greyhound on a leash or in a completely fenced area?

Where and how will you exercise your Greyhound?

Do you understand your greyhound MUST live within your home?

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

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

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

Do you agree to the following statements:

Use a martingale collar and never tie your dog outside.

Keep a GPA/Coastal Oregon Greyhounds ID tag on this pet at all times.

Keep current your greyhound's vaccinations and dental hygiene.

Notify GPA/Coastal Oregon Greyhounds 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/Coastal Oregon Greyhounds President?

Allow us to make a home visit prior to placement of one of our greyhounds.

References (other than family members)

Please include the name, address, and phone number.

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

Phone: Address:

In whose name are the records listed?

For which pet(s)?

Name of friend or relative we may contact in case of emergency:

Phone: Home Address: City:

State: Zip:

I HEREBY CERTIFY THAT ALL THE INFORMATION CONTAINED ON THIS FORM IS TRUE AND CORRECT.

If I am approved for this greyhound adoption, I agree that I will keep the greyhound exclusively as a pet. I accept full responsibility for his/her care, releasing the previous owner as well as GPA/Coastal Oregon Greyhounds and its representatives from any future liability concerning this greyhound. All greyhounds placed by GPA/Coastal Oregon Greyhounds have been spayed or neutered prior to adoption. A $200 fee is required at the time of adoption to partially defray expenses.

Applicant Name:
Driver's License Number:
(Used for validation purposes only. This is kept confidential)

Co-Applicant Name:
Driver's License Number:

Date: