ALMOST HEAVEN GREYHOUND ADOPTION
APPLICATION
  Name: _________________________________________
Address: _______________________________________
______________________________________________
______________________________________________
Home phone: ___________________________________
Email: ________________________________________
  Employer: _____________________________________
Occupation: ____________________________________
Work phone: ___________________________________
Work hours/days: _______________________________
Work email: ___________________________________
   
1.
What is your age group? _____ Under 21
_____ 21-35
_____ 35-50
_____ Over 50
2.
Do you own your home? _____ Yes
_____ No (requires written permission from landlord)
3.
Type of dwelling: _____ Single family
_____ 2-family

_____ Apartment
_____ Condo
4.
Will you agree to a home visit by an adoption representative before the adoption becomes final? _____ Yes
_____ No
5.
Do you have a fenced yard? _____ Yes
_____ No
 
5a. If yes, please describe size of yard, and type and height of fence (at lowest point).
_______________________________________________________________________________
 
5b. If no, are you willing and able to take your dog for walks ON LEAD several (at least 4) times a day
 
REGARDLESS OF WEATHER? _____ Yes
_____ No
_____ N/A - we have a fenced yard
6. If your yard is not fenced, or is very small, do you have access to a large, securely fenced area for
 
exercising your dog at least once or twice a week? _____ Yes
_____ No
_____ N/A - we have a large fenced yard
7.
Where will your dog be spending most of his time? _____ Indoors
_____ Outdoors
_____ About half and half
8. Are you now, or have you previously been a member of, or volunteer for any Greyhound adoption group?
.. _____ Yes, I am currently a member of a group
_____ Yes, I have been a member of a group, but am not now
_____ No, I have never been a member of a group

8a. If yes, which one and where? _____________________________________________
9.
Do you have a Greyhound now or have you ever owned one? _____ Yes, I have one (or more) now
_____ Yes, I have owned one previously
_____ No, I have never owned one
.......
9a. If yes, from whom did you get it/them? ___________________________________________________
__________________________________________________________________________________
10. If you have previously owned Greyhounds, please tell us what happened to them. _____________________
_____________________________________________________________________________________
______________________________________________________________________________________
11. Why do you think a Greyhound is the right pet for you? Please be brief. _____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
12. If you have never owned a Greyhounds, please briefly describe any research you may have done on the breed 
(ie. talking to owners, reading books, internet research, TV, etc.)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
13. How did you become interested in adopting a Greyhound?_______________________________________
_____________________________________________________________________________________
14. If you are already particularly interested in one of our dogs, please put his/her name here:_______________
15. Do you have any strong preferences regarding age, sex or color? __________________________________
_____________________________________________________________________________________
 
15a. Will you consider another dog if we don't have/can't find your preference?
...................................................................................................... _____ Yes
_____ No

_____ N/A - match has already been made
_____ N/A - have no strong preferences
16. Are you interested in any particular activities with your Greyhound, such as lure coursing, obedience training, 
agility, therapy work, etc.? _________________________________________________________
17. What dogs, if any, do you now own? Please give breed, sex, size and age. ___________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
18. What breeds of dog, if any, have you owned in the past? _________________________________________
______________________________________________________________________________________
19. What other pets, if any do you now own? Please give species, size, and whether or not they live in the house. _____________________________________________________________________________________
______________________________________________________________________________________
20. How many people over the age of 16 live in your home? _____
21. How many hours in a normal day would your dog be alone? _____
22. Please give the ages and sexes of any children under 16 who live in your home or visit frequently (such as 
grandchildren, etc). _______________________________________
______________________________________________________________________
23. Do you agree to keep a collar with identification on the dog at all times? Initial here ____
24. Do you agree to notify Almost Heaven Greyhound Adoption immediately if the dog should ever become lost? 
Initial here ____
25. Do you agree to return this dog to Almost Heaven Greyhound Adoption if you ever become unable to unwilling 
for any reason to keep it? Initial here ____
26. Do you understand and agree that your ownership of this dog will be subject to the conditions set forth in this 
application and/or any ensuing adoption contract, and that if the dog is judged by any authorized representative 
of AHGA to be kept in an unsuitable manner that we are entitled to and will regain possession of the dog? 
Initial here ____
27. Do you understand and agree that signing this application constitutes a legal and binding contract? Initial
here ____
28. Please give the name, address and phone number of someone who has known you for at least three years.
___________________________________
___________________________________
___________________________________
___________________________________
29. Please give the name, address and phone number of your veterinarian.
___________________________________
___________________________________
___________________________________
___________________________________
30. This application must be signed by ALL persons over 18 living in the household.

Signature: _________________________________________ Date: ______________

Signature: _________________________________________ Date: ______________

Signature: _________________________________________ Date: ______________

Signature: _________________________________________ Date: ______________

 

 

Please complete this application and mail to:

Almost Heaven Greyhound Adoption
5340 Doc Bailey Rd.
Cross Lanes WV 25313

Or fax it to 815-327-8948 (new fax number)