Adoption Application


                          
 

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
Cell Phone
FAX
E-mail

Employer
Title
Employer Address

Yes No

Name of Animal Hospital you use?
Address
City, State and Zip
Telephone
I have no current vet and am listing a reference.	(leave blank if you are listing a vet)

I have given permission to to release information to a L.I.G.H.T. representative regarding the care I give my animals.

If you currently have no veterinarian at this time please list a personal reference who
is not a family member above, and check the box that says <no vet>

Do you                      Own a home?           Rent a home?
If you rent your home do you currently have permission to have a dog?
 Yes         No    

Landlords Name
Landlords #

Do you have a fenced in yard?    Yes              No
If yes what is the height of the fence?  

Please describe the activity level of the household?
 

How many hours would your new family member (the GreyHound) be left alone a day?  

Would you be willing to modify your daily schedule to accommodate the GreyHounds
needs, such as assuring that the GreyHound would go outside into a fenced-in area or walked on a leash to perform bodily functions three times per day?
                    Yes                     No

Please check the following:
In addition to a regular life at home would the GreyHound......

Walk routinely with a family member?

Go to your place of business with you?

Go to obedience class?

Travel with you?

Be a playmate for your children?

Be a playmate for your other pets?

Explain why you want to adopt a GreyHound?

Do you currently have any other pets living at home?
Yes                  No
If yes please indicate the type, age, and sex of the current pet?
  

Do you have cats, rabbits, or other small animals in your yard that will be interacting with the GreyHound?
         Yes                     No

If yes please describe.

Please list all the dogs you have had in the last ten years.

If you no longer have these pets, please explain why (please be specific)

What role does a pet play in your family?
 

How did you hear about our rescue and adoption program?

L.I.G.H.T. recommends the use of a crate as a training and transitional tool.
 Are you familiar with crate training?
         Yes                     No

If you are unfamiliar with crate training, are you willing to learn more about it?
         Yes                     No

First Agreement Section:

LIGHT requires all adopters to read the book "Adopting the Racing Greyhound"  by Cynthia A. Branigan.

Please read and respond to the following statements:

1. I understand that the GreyHound has never been in a home before and will require my time and patience during the initial adjustment period.   He/she may chew items, or dig in the yard or steal food off of counters.  He/she has never climbed up or down stairs and is also unfamiliar with windows and mirrors.
2. I understand that GreyHounds are strictly indoor pets and cannot live outside.
3. I understand that GreyHounds cannot run loose because they are sight-hounds and will instinctively chase any moving object regardless of the danger involved.
4. Once I own a GreyHound I would be willing to complete a questionnaire and receive a follow up visit.
   
   I agree to the above statements.         I disagree with the above statements.

If approved  by L.I.G.H.T. for adoption I would prefer a: 
Male             Female    I have no preference of gender

The earliest date I could accept my GreyHound would be:

Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Please be aware that the color of the GreyHound cannot be a consideration when selecting your pet. The temperament of the dog and its ability to complement your household is our primary concern.

Second Agreement Section

I agree to donate $250.00 to L.I.G.H.T. Inc. to help defray kennel and veterinary expenses for all dogs prior to adoption.   I understand that my donation is non-refundable.  The following medical services have been performed:  spaying/neutering, heartworm testing, fecal analysis, rabies vaccination, and a DHLPP booster, as well as a general health check-up.

I will send a $75.00 non-refundable fee in advance to start the adoption process.

I understand that I am adopting a rescued GreyHound and I am willing to accept full and immediate responsibility for the ownership of a GreyHound, including all the health costs and necessary burdens and responsibilities of owning a pet.

My GreyHound will receive medical care as needed as well as its annual vaccinations and spring heartworm test.

I will see to it that my GreyHound is exercised daily and is leash-walked, or let off the lead in a completely fenced in area at least three times each day to take care of bodily functions.

I agree to maintain my GreyHound as a indoor pet.

I will keep my GreyHound L.I.G.H.T. I.D. tag and collar bearing a tag with my name, address, and telephone number on my GreyHound at all times.

I will contact a L.I.G.H.T. representative if for any reason I cannot keep my GreyHound.   I will not give my GreyHound to a dog pound, or animal shelter of any kind.  I will return my GreyHound to L.I.G.H.T. at 20 West Old Country Road, Hicksville, NY 11801 in the event I can no longer care for my GreyHound.

I release L.I.G.H.T. of any responsibility (hold harmless) for any damage that my GreyHound may cause to my own and/or family's personal being or belongings (i.e. chewing furniture, digging in the yard, biting, etc....)

I am 21 years or older.

By agreeing to the above, re-entering your name, you are digitally signing the above statement and agreeing that the form is correct to the best of your knowledge.   The information provided is used for the sole purpose of making sure each L.I.G.H.T. GreyHound receives a good home.
      I agree      I disagree
 

Re-enter your name for signature.