3. Do you have a fenced in yard? Yes No
If yes, height of fence:

4. Household makeup: # Adults # of Children
Ages of children:

5. Does anyone in the household have allergies? Yes No
If yes, is that person allergic to animals? Yes No

6. Which family member will have the major responsibility of caring for the dog? Adult Child

7. How many hours a day will the dog normally be left alone?

8. How close is your nearest neighbor?

9. Do any of your neighbors' pets come into your yard?
Yes No

10.    a. Will this be your first pet?
        Yes No

b. What type of pets did you previously own?
Dogs Cats Other

c. What happened to them?

d. What pets do you currently own?
Dogs Breeds

Cats Other

e. If you currently own a dog(s) is it spayed/neutered?
Yes No some are, some are not

f. If you currently own a cat is it an indoor or outdoor or indoor/outdoor cat?

11. Who is your current veterinarian?
Name:

Phone #:

What last name and pet name are the vet records under?

12. Why do you want to adopt a greyhound?

13. What sex do you prefer?
Male Female No preference

14. Where will your greyhound spend the majority of its time?

15. Are you willing to use a crate to train your greyhound? Yes No

16. Do you agree to return your greyhound to us if you are unable to keep it? Yes No

17. Can we visit your home? Yes No
If No, please state a reason:

18. Are you willing to provide us with follow-up reports? Yes No
(Follow up reports may be sent via e-mail to adopt@njgreyhounds.org)

19. When will you be ready to take a dog?

20. How did you hear about the NJ Greyhound Adoption Program?

21. Do you use chemicals on your lawn? (ie Lawn Doctor, Chemlawn)
Yes No

Person Submitting Form:

E-Mail Address :*
* required

Prior to adoption, every Greyhound is spayed/neutered, inoculated, medicated for worms, heartworm tested and has had their teeth cleaned and polished. Your donation of $250 also includes a special safety collar with ID Tag and a matching 6 foot leash.