THE GREYHOUND GANG OF FLORIDA, INC.

Adoption Application for     Date:

Applicants Name:     Co-Applicants Name:

Street Address: Apartment #:

City: County:     State: Zip Code:

Home Phone:      Work Phone:        Cell Phone: 

Email Address:

Occupation: 

Do you own or rent this residence? Rent    Own  How long have you been at this address?

If renting, do you have your landlord’s permission to have a large breed dog? Yes    No

Landlord’s Name: Phone Number:

Will this dog be kept as an inside pet?Yes    No                 Are there stairs in your home? Yes    No

Do you have a fenced in yard? Yes    No     Fence Height: Do you have a pool? Yes    No

Number of hours per day that the dog will be alone 

Number of children in the home: No Children 1 2 3 4 5 6 Ages of Children:

Is there anyone in the home with special needs? (walker, wheelchair, etc.)

Please list all current dogs:

Dog’s Name: Age:       Breed:     Sex: M    F      Spayed/Neutered: Yes    No

Is this an indoor or outdoor pet? Outdoor Pet Indoor Pet Date of last vaccinations:

Is this dog currently on heartworm preventative? Yes    No

Dog’s Name: Age:       Breed:      Sex: M    F     Spayed/Neutered: Yes    No

Is this an indoor or outdoor pet? Outdoor Pet Indoor Pet Date of last vaccinations:

Is this dog currently on heartworm preventative? Yes    No

Dog’s Name: Age:       Breed:      Sex: M    F      Spayed/Neutered: Yes    No

Is this an indoor or outdoor pet? Outdoor Pet Indoor Pet Date of last vaccinations:

Is this dog currently on heartworm preventative? Yes    No

Please list any additional dogs :

Name of Animal Hospital: Phone Number:

Please list all current cats:

Cat’s Name: Age:       Sex: M    F      Spayed/Neutered: Yes    No

Is this an indoor or outdoor pet? Outdoor Pet Indoor Pet Date of last vaccinations:

Cat’s Name: Age:       Sex: M    F      Spayed/Neutered: Yes    No

Is this an indoor or outdoor pet? Outdoor Pet Indoor Pet Date of last vaccinations:

Cat’s Name: Age:       Sex: M    F      Spayed/Neutered: Yes    No

Is this an indoor or outdoor pet? Outdoor Pet Indoor Pet Date of last vaccinations:

Cat’s Name: Age:       Sex: M    F      Spayed/Neutered: Yes    No

Is this an indoor or outdoor pet? Outdoor Pet Indoor Pet Date of last vaccinations:

Please list any additional cats:

Name of Animal Hospital: Phone Number:

Please list any other pets:

If you do not currently have a dog, have you had one in the past? Yes    No

Prior dog’s name(s):

Previous Animal Clinic: Phone Number:

Do you agree to keep your greyhound on a leash at all times when not in a fenced area? Yes    No

Preferred Gender: Male    Female

Would you be interested in becoming a foster home for other greyhounds? Yes    No

  I hereby certify that all of the information provided on this application is true and correct.

Name:                                                                                             Date:                                                                                            

Click the submit button below to submit this application electronically to a representative of The Greyhound Gang of Florida.  Once we receive your completed application we will verify your information and contact you to set up a home visit. This process usually takes 2-3 days.

813-684-4804 www.greyhoundgangfl.org greyhoundgangfl@hotmail.com