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Adoption Application
Your Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Address
*
Street Address
Address Line 2
City
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Armed Forces Americas
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State
ZIP Code
Email
*
Enter Email
Confirm Email
Cell Phone
*
Home Phone
*
Enter mobile phone if you do not have a home phone.
Best time of day to call
*
Employment Status
*
Employed
Unemployed
Occupation
*
Employer
*
Employer Phone Number
*
Relationship Status
*
Married
Partner/Significant Other
Single
Spouse/Partners Name
*
First
Last
Spouse/Partners Date of Birth
*
MM slash DD slash YYYY
Spouse/Partners Employment Status
*
Employed
Unemployed
Spouse/Partners Occupation
*
Spouse/Partners Employer
*
Spouse/Partner Employer Phone Number
*
Can we call you at work
*
Yes
No
How did you hear about our organization?
Your Household
List all people (adults and children) residing in your home, their ages and the hours they are home
*
Is everyone in your household agreeable to having a pet?
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Yes
No
Does anyone in your household have allergies
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Yes
No
If yes, please explain if anyone in your home has allergies to animals and how you prepare to deal with that.
*
Does anyone in your household have special needs?
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Yes
No
If yes, please explain.
*
Does anyone in your household smoke?
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Yes
No
Please select how you would describe your household activity level.
*
Very Quiet
Rather easygoing
Usually something going on
Lots of activity
How frequently do you have adult visitors?
*
Often
Not so often
How frequently do you have child visitiors?
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Often
Not so often
Are you expecting a child or planning a family at any time in the future?
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Yes
No
Are you willing to teach your children the proper treatment and handling of a live animal?
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Yes
No
Which of the following best describes your living situation?
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Own Home
Rent/Lease
Live with relatives or friends
What type of home?
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Single Family
Multi-Family
Condo
Apartment
Mobile Home
If in a condo or apartment, are you allowed to have a dog?
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Yes
No
If you rent, please provide the name and phone number of your landlord or condo association president.
*
Are there any covenants or restrictions on pets where you live?
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Yes
No
If yes, please explain
*
Do you have a lot of stairs in or outside your home, balconies or tall decks?
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Yes
No
If yes, please describe.
*
Your Yard
If you have a private yard, how big is your yard?
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Small
Medium
Large
No private yard
Is your yard completely fenced?
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Yes
No
Please list the type and height of fence.
*
Is your gate ever left open by workers, children, etc?
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Yes
No
Would you fence all or part of your yard as a condition of adoption?
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Yes
No
Not able to due to living situation
If you do not have a fenced in area, how and where will you exercise a dog and allow it to relieve itself?
*
Do you have/intend to install a dog door?
Yes
No
Do you have a pool?
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Yes
No
Is it fenced so that there is no danger of the pet gaining access to it without supervision?
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Yes
No
Do you subscribe to a chemical lawn service or use pesticides/chemicals on your lawn?
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Yes
No
Your Pets
Do you currently have any pets?
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Yes
No
Please list all current pets in your household by breed, sex, age, how long owned, if spayed/neutered, where did you get this pet? Please be specific.
*
Please include where you got your pet (rescue, breeder, pet store). Also include breed, sex, age, how long owned, spayed/neutered?
When were your pets last vaccinated?
*
MM slash DD slash YYYY
How often are your pets vaccinated for Distemper/Parvo?
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Every year
Every three years
Three years +
I do not vacinate
I do not know
When my vet tells me too
Other
Are your dogs on heart worm prevention?
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Yes
No
If so, how many months per year?
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Have you previously had pets
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Yes
No
Please list your previous pets owned in the last 10 years by breed, sex, age, how long owned, if spayed/neutered, where did you get this pet? (rescue, breeder, pet store), and explain what happened to them.
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Of the pets that you own or have owned, what do you enjoy most about pet ownership?
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What do you like least?
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If you have never owned a pet, have you lived in a household with pets? If yes, did you have any dog care responsibilities? Explain:
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Do you have a current veterinarian?
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Yes
No
Name of veterinarian
*
Address of veterinarian
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone Number of veternarian
*
How long have you been seeing this veterinarian?
*
Do we have permission to contact your veterinarian as a reference?
*
Yes
No
What is the owner's name your pets are listed under at your veterinarian?
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Have you ever given an animal away or surrendered one to a shelter?
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Yes
No
If yes, please explain
*
Have you ever trained one or more pets?
*
Yes
No
If yes, explain
*
Have you ever bred a pet?
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Yes
No
If yes, explain
*
If you have applied to any other rescue groups, please provide a telephone contact. Was your application approved? If not, please explain.
*
Italian Greyhound Specific Questions
Please tell us why you want to adopt an Italian Greyhound.
*
Have you ever had an Italian Greyhound before?
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Yes
No
If yes, is the dog still residing with you? If not still with you, please explain.
*
How or where have you learned about this breed?
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Who will be primarily responsible for the pet's care and training?
*
How many hours a day will your Italian Greyhound be alone weekdays?
*
How many hours a day will your Italian Greyhound be alone weekends?
What is the longest period the dog will be home alone? Please explain and be specific.
*
Where will the dog spend the day? Check all that apply.
*
Loose Indoors
Crate
Basement
Garage
Fenced Yard
Dog Run
Chained
Outside Kennel Run
Loose Outdoors
Other
Do you plan on doing any dog related activities with your new dog such as training classes, agility, lure coursing, camping or dog parks? If so, please explain.
*
How will your dog get exercise?
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Are you familiar with crate training?
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Yes
No
Would you be willing to learn more about it and consider the use of a crate (portable cage) as a training and transitional aid?
*
Yes
No
Do you know how to use a martingale collar?
Yes
No
Do you plan to teach your Italian greyhound to be off leash in an unfenced area?
*
Yes
No
If you do not have a fenced yard, are you willing to take the dog out on a lead as often as every several hours to relieve itself?
*
Yes
No
How do you feel about dogs on furniture?
*
Where do you anticipate your dog will sleep at night?
*
If a dog misbehaves, what form of correction do you expect to use?
*
Do you travel frequently?
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Yes
No
If yes, who will take care of the dog while you are away?
*
What brand and formula dog food do you plan to feed your Italian Greyhound? Please be specific.
*
How often do you feed your dog?
*
Once a day
Twice a day
Three +
Free feed
Do you have a preference as to sex?
*
Yes
No
If so, why?
*
Do you have a preference as to color?
*
Yes
No
If so, why?
*
Do you have any interest in adopting an older dog?
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Yes
No
What age dog are you wishing for and why?
*
Any other preferences?
*
Could you accept a dog with special needs or medications, for example: thyroid medication or phenobarbital for seizures?
*
Yes
No
Are you aware that some rescue pets have been abused and/or neglected and need extra love and attention, and would you be willing to work with that?
*
Yes
No
Could you work patiently with a dog that still needs some housebreaking help?
*
Yes
No
To provide food, supplies, dental cleanings, vaccinations, heartworm preventative, and other veterinary care for this Italian Greyhound, how much do you anticipate spending on a yearly basis?
*
What are valid reasons for which you might GIVE UP your Italian Greyhound. Please select all that apply.
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Death in the family
Financial problems
Divorce
Moving
Owner's health problems
Having a baby
Chewing
Dog needs expensive vet care
House training issues
Digging in the yard
Destructive to property
Inappropriate with children
Excessive barking
Separation anxiety
Aggressive with other pets
Biting
I would not give up a dog for any reason
Do you have any additional comments that will assist us in our consideration of placing a dog with you?
*
Conditions of Adoption
Are you aware of the vital importance of keeping your IG on a leash or in a fenced area at ALL times when outdoors and are you willing to agree to do that?
*
Yes
No
Are you willing and able to modify your daily schedule to accommodate a dog's needs, such as: going outdoors into a fenced area or walking on a leash to perform bodily functions several times each day, coming home at lunch and/or after work to see to a dog's needs, arranging your leisure time activities to include a dog or allow time for seeing to its needs if left home?
*
Yes
No
Are you willing and able to accept full and immediate responsibility for the ownership of an Italian Greyhound, including health care costs and necessary burdens and responsibilities of owning a pet?
*
Yes
No
Have you carefully considered the financial cost of pet ownership and are you financially prepared to give your pet the routine medical care it requires including vaccinations, heartworm preventative, dentals, etc?
*
Yes
No
Are you prepared to make a lifelong commitment to your new pet?
*
Yes
No
If, for any reason, you are unable to keep your IG, will you agree to return it to IG Rescue?
*
Yes
No
IGs must live in the house, they cannot adequately be kept in an outdoor kennel or doghouse. Are you willing to keep an IG as a pet and have it live in the house as a part of your family?
*
Yes
No
References & Submit
Please provide the names and phone numbers of at least two non-related people who can recommend you as a proper adoptive family for a rescued pet.
*
Please provide the names, address and phone number of your nearest living relative.
*
Phone
This field is for validation purposes and should be left unchanged.