CSRA Greyhound Adoptions
APPLICATION for ADOPTION  
 Margie Hobbins at 706-667-0827

YOU MUST BE 18 OR OLDER TO ADOPT A GREYHOUND.

Please complete this application in its entirety. If you have any questions or concerns, please contact

Name: ______________________________________________________________________ Date: _______________

Mailing Address: ___________________________________________________________________________________

Home phone____________________ work__________________ other__________________ Best time to call_________

E-Mail: ____________________________Age_____ Occupation_____________________________________________

Are You Married:   Yes      No              Spouse’s Name & Occupation: ________________________________________

Do you have children currently living with you?    Yes       No                  Age ___________   Sex ___________
                                                                                                            Age ___________   Sex ___________

REFERENCES

Veternarian/Clinic___________________________________________________________________________________

Telephone/Address_________________________________________________________________________________

I hereby authorize the above-named veterinarian to release any requested information to a representative CSRA Greyhound Adoptions.  Signature & Date:  __________________________________________/________________

GENERAL INFORMATION:

Why do you want to adopt a greyhound?  _______________________________________________________________
_________________________________________________________________________________________________

Circle the terms that best describe your home:     Own                 Rent/Lease                   # of Years _______________

House               Condo/Townhouse         Mobile Home    Apartment        Other _______________________________

If you rent/lease your home, do you have permission from your landlord to have a large, inside dog?     YES    NO     N/A
Landlord’s Name:  _______________________________________Telephone:  ________________________________

Do you have a fenced yard?  Yes      No    Type of Fence ____________________________Height of Fence__________
                                                                       
If your yard is not fenced, are you willing to erect a fence?   Yes     No      If No, please explain:  ___________________
__________________________________________________________________________________________________

Do you currently have pets?   Yes   No        #/Kind _______ Cat              ________ Dog       Other _________________

Please specify: Breed ________________ Age _____ Sex ____     Breed _________________ Age _____ Sex _____
                        Breed ________________ Age _____ Sex ____            Breed _________________ Age _____ Sex _____

            Is your dog(s) neutered?   Yes   No – why not _____________________________________________________
           
What other pets have you had in the past and what happened to them?  _________________________________________

Describe your household:           Quiet                            Easy Going       Seldom Travel               Frequent Visitors
                                                Usually Quiet                Active              Frequent Travel                Adults/Children
                                                Loud                             Very Active

TYPE OF GREYHOUND DESIRED
Please describe the greyhound you would like to adopt.    Circle all that apply

            Personality:                 Shy                   Outgoing                       Sociable with Other Dogs
                                                Placid               Playful                          Somewhat Affectionate
                                                Mellow             Sociable with Cats         Very Affectionate

            Activity Level:                        Couch Potato                Playful              Highly Active                Playful with Activity
                                               
            Age:                             Younger           Middle Age                   Older                Doesn’t Matter
                                                 (2-3 yrs)          (4–7 yrs)                  (8 yrs and up)

Color:                          If someone in your home has allergies, we recommend a brindle or black greyhound.

What do you consider to be the three most important qualities you are looking for in a greyhound?  __________________
________________________________________________________________________________________________________________________

Our greyhounds arrive from the track/farm in fairly good condition, but at times minor track injuries require some rehabilitation or additional medical attention.  Are you willing to adopt such a greyhound?    Yes     No
Comments: ________________________________________________________________________________________

GREYHOUND CARE:

Who will be responsible for your greyhound’s daily care?  _________________________________________________

How many hours a day will your greyhound be left alone? _________________________________________________

 We recommend that you read Adopting the Retired Racing Greyhound by Cynthia A. Branigan. If you have children, we recommend you also read Child-Proofing Your Dog by Brian Kilcommons and Sara Wilson (Warner Books). 

Have you read either of these books?     Yes      No     If not, we request you read one book before your home visit.

Are you aware that a greyhound is an indoor pet and cannot survive as an outdoor animal?   Yes    No   Need Information

Are you willing to modify your lifestyle if necessary to accommodate a greyhound’s needs and keep it as an inside pet?
 
Yes     No       If, not, please explain: ___________________________________________________________________

Are you willing to walk your greyhound on a leash 4 to 6 times a day during its adjustment period if necessary?  Yes  No

Are you willing to have your greyhound immediately under the care of a veterinarian AND assume any medical costs for your greyhound’s care?      Yes        No

 

Do you certify that all of the information on this application is true and correct?         Yes _______ (Please Initial)

Signature:  __________________________________________________________Date:__________________________

Return Application to:
Margie Hobbins
1310 Jamacia Court
Augusta GA 30900
706-667-0827
annmawcaw@knology.net