Adoption Application Please enable JavaScript in your browser to complete this form.When do you anticipate being ready to adopt? *Select OneWithin the next monthIn the next 2-3 monthsIf you are planning to adopt more than 3 months from now, we kindly ask you to fill out our application closer to that date.LayoutPrimary Applicant Name *Co-Applicant NameAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutPhoneEmail *Housing Situation *OwnRentLayoutLandlord's NameLandlord's Phone NumberIf you have an apartment, condo, or homeowners association, do you have permission for a dog over 50 pounds?YesNoIs your yard fenced? *YesNoPartiallyAre you aware that greyhounds cannot be tied out and must be leashed at all times unless in a completely fenced area? *YesNoHow many hours per day will your greyhound be left alone? *Total number of people living in your home? *Select12345678+Are there children living in you home? *YesNoIf yes, please list the ages of each child.Do you have pets? *YesNoIf yes, please list the number and type of animal(s).Why do you want to adopt a retired racing greyhound? *Do you have an adoption application open – or are you in discussions with – any other adoption groups? *YesNoWe will contact your veterinarian for a reference; please contact his/her office and authorize them to speak with us concerning your adoption. We suggest that you talk to your veterinarian about your decision to adopt a retired racing greyhound. If you do not have pets, please supply the name of another reference who is not related to you. *I am interested in adopting a retired racing greyhound and certify that I have answered all questions honestly and to the best of my ability. I understand that greyhounds are sight hounds and must be kept on a leash or in a secure, fully fenced area when outside. I also understand that greyhounds are strictly house dogs and are not suited to outside living. If I adopt a greyhound and am unable to keep the dog for any reason, I will return the dog to Connecticut Greyhound Adoption-GPA. Please re-enter your name to verify you have read and agree to abide by the agreement. *How did you hear about CGA?SelectInternet SearchSocial MediaPrevious Greyhound OwnerFrom a FriendMeet & GreetSubmit
