Adoption Application
Adoption Application
Circle of Friends Greyhounds, Inc
245 Loggerhead Road
Statesville, NC 28625
704-437-2920
jtdearmin@aol.com

Adoption fee – tax deductible $280.00 – includes all vet work and heartworm testing, dental, muzzle and collar
adoption fees are non-refundable

Pet ownership is a serious responsibility. It is the policy of Circle of Friends’ Greyhounds Inc Program to assure that each 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 the Adoption Center in deciding if you and/or your family are indeed adequately prepared to assume the type of responsible ownership which we are endeavoring to assure for our adoptive greyhounds. If there is not enough space to fully answer each question, please feel free to attach an additional sheet for your responses.

Name_____________________________________________________________________Date_________________

Address________________________________________________________________________________________

City_______________________________________________________________State________Zip______________

Home Phone (________)_______________

E-mail address ________________________________________

Occupation (other) _____________________________________

Work Phone (_____)___________Age_______

Occupation (other) __________________________________

Work Phone (_____)___________Age______

How did you learn about us! _______________________________________________________________________

1. Why do you want a greyhound as a pet?____________________________________________________________

____________________________________________________________

2. Do you have any experience with dogs or other animals? Yes___ No___

3. Do you have any preference regarding age, sex or color?_______________________________________________

4. What other pets do you have?

Type(s)________________________________________________Sex_____________

What are the names of each of your pets?_____________________________________________________________

Where do they sleep?_______________________________________ Sterilized? Yes_____ No_____

5. Did you ever return a pet to a Humane Society or Pound? Yes__ No__ If so, please give reason.________________
______________________________________________________________________________________________

6. Number of adults in your household and ages:

_______________________________________________________

7. Number of children and ages. Please list.

___________________________________________________________

8. Are your children good with animals?

_______________________________________________________________

9. Do you have a fenced in yard? Yes__ No__ Size of Yard (Length & Width)__________Fence Height_____________

Type of Fence____________________ If yard is not fenced, is there a fenced in area nearby where you can regularly

exercise your greyhound Yes____ No____ Describe the area and the size ___________________________________


10. Do you travel much? If so, who will take care of your greyhound?

________________________________________(we board your grey for you)

11. Approximately how many hours a day will your greyhound be home alone?

________________________________

12. Describe the area in which you live: City_______ Suburban_______ Rural______

13. Do you live in a: House______ Apartment____ Condo_____ Mobile Home_____

14. Do you rent or lease? If so, do you have the permission of your landlord to have a dog? ______________________

Landlord’s Name___________________________________________ Phone Number (_____)______________

15. What is the best time of day to reach you by telephone?

_________________________________________________________________

16. Is your household busy or quiet?

_________________________________________________________________

17. Who will be responsible for the care and training of your new greyhound?

_________________________________________________________________

18. Are you willing and able to leash-walk your greyhound for necessary functions at least four (4) times a day? _____

A Non-Profit Organization Devoted To Saving Greyhounds

19. Is there a legal ordinance in your area pertaining to owning/housing an animal (i.e., leash laws, required vaccinations or dog licenses, etc.)?
__________________________________________________________________________

20. Are you willing to keep a collar with a tag bearing your name, address and phone number on your greyhound at all times?________

21. If, for any reason, you are unable to keep your greyhound, will you agree to return it to this Adoption Center?_________________________________________________________________________________________

22. Are you willing to accept immediate and full responsibility for the ownership of your greyhound, including all health care costs and necessary burdens and responsibilities of owning a pet?
______________________________

23. Did you have other pets in your home previously? Please name breed, name and years in your household, andreason for leaving (if no longer there)?
_______________________________________________________________________________________________

24. Do you agree to give your pet Heart Worm preventative? Yes_____ No____ If no, why not?

______________________________________________________________________________________

25. Are you present dogs on Heart Worm preventative? Yes____ No_____

26. If the Adoption Center believes it necessary, will you purchase a crate? Yes______ No______

27. What type of personality/temperament do you think would be the best fit for your household and lifestyle?________________________________________________________________________________________

28. Greyhounds live 12 to 15 years. Can you commit to caring for them for this period of time? Yes___ No___

29. Have you adopted an animal previously? Yes___ No___ If so, where is it now? _____________________________

30. Are you aware of the importance of keeping your greyhound on a leash? _________________________________

31. Greyhounds MUST live inside the home! They cannot adequately be kept in an outdoor kennel or dog house!! Do you agree to keep your new pet inside the home? _________

YOU CAN’T EVER PUT YOUR GREYHOUND ON A CHAIN RUN. IT CAN LITERALLY BREAK ITS NECK.

Reference Information
Current Veterinarian____________________________________

Address_______________________________________________

City_______________________________________________State______Zip___

Phone Number (_____)_____________

Please list at least two (2) references that have known you for more than two (2) years. If you do not have a vet at this time, list three (3) references. At least one of your references should be a neighbor. REFERENCES CANNOT BE FAMILY MEMBERS!

Name_________________________________________________________________________________

Address_______________________________________________________________________________

City______________________________________ State____________ Zip________________

Daytime Phone (____)________________ Evening Phone (____)________________


2- Name_________________________________________________________________________________

Address_______________________________________________________________________________

City______________________________________State_____________ Zip________________

Daytime Phone (____)_________________ Evening Phone (____)________________


I certify that all information submitted on the above Greyhound Adoption Application is true and correct.

Adopter’s Signature_______________________________ Date_____________________

If you are interested in adopting a greyhound, please print and fill out the application below and e-mail or mail it to:

Adoption Application
Circle of Friends Greyhounds, Inc
245 Loggerhead Road
Statesville, NC 28625
704-437-2920
jtdearmin@aol.com

The adoption fee of $280.00 is tax deductible.

*** The adoption fee includes all the following:***
1.  Vet work and heartworm testing
2.  Dental
3.  Muzzle
4.  Martingale collar
5. Complete medical exam, spay or neuter 
6. CFGA -ID tag

Adoption fees are NON-REFUNDABLE!