Adpotions

GREYHOUND PETS OF AMERICA, FLORIDA - SOUTHEAST COAST
226 SE First Avenue, Boynton Beach, FL 33435 Phone: 561-737-1941 Fax: 561-737-2349

* indicates required fields

Date:

*Name:

Domestic Partner Name:

*Address:

*City, State, Zip:

Occupation:

Home Phone:

Cell Phone:

Work Phone:

Work Phone #2:

Email Address:

Why do you want to adopt a greyhound?:

Preferred characteristics (Personality,Sex,Size):

How did you learn about GPA FL/SE?:

Number of Adults in the home:

Number of Children in your home:

Ages of Children:

Family members with special needs (wheelchair,etc):

Yes
No

Where do you live?:

House
Apartment
Condominium
Mobile Home

Do you own or rent?:

Own
Rent

How many years at present address?:

Any Homeowner/Condo rules that apply to pets?:

Yes
No

If yes, please explain:

Landlord's Name (if applicable):

Landlord's Phone:

Landlord's Address:

Landlord's City, State, ZIP:

Number of hours a day greyhound would be alone:

Do you have a fenced yard?:

Yes
No

If yes, what type and height?:

If in an unfenced area will dog be kept on leash?:

Yes
No

Do you intend to keep your greyhound IN the house?:

Yes
No

Do you have a swimming pool?:

Yes
No

Does your home have stairs?:

Yes
No

Are you willing to walk your dog 4-6 times daily?:

Yes
No

Do all household members agree with this adoption?:

Yes
No

May a GPA Representative visit your home?:

Yes
No

Do you currently own any pets?:

Yes
No

If yes, please list the type, breed, sex, & age:

Have you ever previously owned a dog?:

Yes
No

If yes, what breed(s)?:

How was the dog obtained?:

What became of the dog(s)?:

Have you ever bred or raised dogs?:

Yes
No

Do you have a veterinarian?:

Yes
No

If yes, please give Vet's name, address, & phone #:

Please give a Reference's name, address, & phone #:

I certify that all of the information given on this adoption application is true and correct.

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