LGAP 2004

       LINCOLN GREYHOUND ADOPTION PROGRAM
           PET GREYHOUND ADOPTION APPLICATION

NAME:________________________________________________OCCUPATION______________________

STREET ADDRESS:________________________________________________________________________

CITY/STATE:________________________________________         ZIP:_____________________________

PHONE __________________________HOME__________________WORK______________________CELL

1.        Why do you want to own a pet greyhound?  _________________________________________________

2.        How did you hear about our organization?  __________________________________________________

3.        Do you prefer a male or a female greyhound? ________________________________________________

4.        What other pets do you have, if any?  _______________________________________________________

5.        What pets have you had in the past?  ________________________________________________________

6.        Number of people in household _______________________number of children and ages______________

7.        Describe the area in which you live.                City                      suburban                       rural

8.        Dwelling type.                     Single family                 two family                         multifamily

9.        Do you own your home?_____________________________________________________________
If you answered no, do you have permission from your landlord and/or does you lease allow you to have pets?
________________________________________________________________________________________
                  
10.        Do you have a fenced in yard?  (not a requirement)__________________________________________
11.        Is there a fenced in area where you can exercise you pet greyhound once or twice a week?___________

12.        Are you award of the importance and reasons of keeping your greyhound on a leash/fenced in area?
_______________________________________________________________________________

13.        Do you intend to keep your greyhound in the house?_________________________________________

14.        If you greyhound will have to climb stairs, how many?_______________________________________

15.        Are you willing and able to take your greyhound out at least 4 times a day to relieve themselves?_______

16.        Do you promise to keep a collar bearing IDENTIFICATION on your greyhound  and to notify LGAP if your
greyhound should ever become lost or stolen?_________________________________________

17.        Do you agree to notify LGAP if you find that you are unable to keep your greyhound and NOT to place your
greyhound in a pound or give him/her to anyone else without the LGAP’s consent?_______________

18.        Veterinarian/ or animal hospital’s name, address, and phone___________________________________
_____________________________________________________________________________________


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Signature of Applicant_____________________________________

Date____________________________________________________