Member of American Kennel Club
Name ________________________________________________________________________
Address ______________________________________________________________________
Phone: Home ____________________ Email ____________________________________
Work ____________________ Best time to call _______________________________
Occupation ______________________ Spouse's
Occupation __________________________
Please tell us why you want to adopt an Italian Greyhound rescue?
Have you ever had this breed before? ______
If yes, is the dog still residing with you? ______ If not, please explain.
If you have not had this breed before, please explain how you learned about Italian Greyhounds.
Do you currently own or have you owned a pet(s) in the past ten years? ______
If yes, what kind(s) and what is the current status of your pet(s)?
Are all dogs/cats currently owned spayed/neutered? ________ Vaccinated?________
Do you use heartworm preventative? _______ What type _______________________
Please list your veterinarian's name and phone for current or past pets (if applicable).
Do we have your permission to contact your veterinarian as a reference? _______
Have you ever given an animal away or surrendered one to a shelter? ______
If yes, please explain.
Have you ever applied to any other rescue groups? ______
If yes, please provide a telephone contact _____________
Was your application approved? ______ If no, please explain.
Have you ever bred a pet _______ Do you currently breed any animals? _________________
Which of the following best describes your current living situation? (please circle one)
Own: Home Apartment Condominium
Living with relatives
Rent
Home or Apartment (If renting, please include written permission)
Name of landlord _______________________________ Phone
___________________
Does you landlord allow pets? ______ Any restrictions? ___________________________
Do you have a private yard? ____Fenced? ____Type and height of fence _________________
Can the gate be opened from the outside? ______ Do you have a dog door? _____ If yes, do your dogs have access to the yard when no one is home? ______________________________
If you do not have a fenced yard, are you willing to take the dog out on lead as often as every several hours to relieve itself? ______ How and when will your dog get exercise?
Do you have a lot of stairs, balconies or tall decks?
Do you have a pool? ____ If yes, is it completely fenced so that pets cannot get to it without supervision? ______
Do you use a lawn service or use chemicals on your yard? ______________________________
Would you consider moving to a location that does not allow pets? _______________________
Is everyone in your home agreeable to adopting an Italian Greyhound? ____________________
Do you have frequently have visitors _______ Children visitors ____________
Who will be the primary caretaker of your rescue dog? _________________________________
Do you travel often ____ If yes, who will take care of your IG when you are gone? ____________
Is the dog a gift? ______ for whom? __________________
How many hrs a day will your IG be left alone? ______
Please list all adults in the household and the hours they are typically home.
Please list all children in the household along with their ages/interests.
Will the children be expected to care for the dog? _____ If so, in what capacity?
Does anyone in the home have pet related allergies? ______
Would you describe the activity level in your household as: low_____ medium_____ high _____
Where will your rescue stay when no one is home: At night:
Loose in your home Loose in your home
Crate Crate
Basement Basement
Garage Garage
Fenced Yard Fenced Yard
Dog Run Dog Run
Chained/Tied Chained/Tied
Outside Kennel Outside Kennel
Loose Outdoors Loose Outdoors
Other In Our Bed
Are you aware there is a period of adjustment for each rescue to its new surroundings which may include potty accidents, chewing and digging, or other ‘undesirable’ behaviors? ______
If the dog makes a mistake, please describe what kind of correction you will make.
Have you ever crate trained a dog before? _______
If no, do you object to the discriminate use of a crate or a lidded wire pen as advised by your IGCA Rep? ____ If yes, please explain.
Are you willing to purchase a crate/pen if you do not have one? __________
Are you planning on paper training? ______
How do you feel about animals on the furniture? ______________________________________
Do you plan on attending classes or any other dog activity with your dog? ______ If yes, what kind? _______________________
What do you plan on feeding your IG ________________
Do you feed once a day, twice a day, free feed or other __________________________________
Do you have a preference regarding the age and/or sex of your rescue dog? _______
If yes, please explain:
Would you consider something other than your stated preference? ______
Would you consider a special needs dog? _______ An older dog? _______
Are you willing/able to be financially responsible for all routine, unexpected and emergency medical care for your rescue dog? ________
Do you agree to contact IGCA Rescue and return this IG if ever you find you cannot keep him/her? ________________
Please provide the name and phone number of two non-family individuals who can serve as references:
1.
2.
May we contact your references and do a home visit to your home to verify the information you have provided? ______
Do we have your permission to do a follow up visit after adoption? ______
Do you have any additional comments that will assist us in our consideration of placing a dog with you?
INFORMATION AND REQUIREMENTS
It is vital to keep your Italian Greyhound ON A LEASH AT ALL TIMES outdoors if not in a fenced area. Italian Greyhounds are sighthounds and will chase small moving objects regardless of danger, including rabbits, birds, and squirrels. NEVER ‘trust’ your Italian Greyhound won’t run away!
You must agree to keep your Italian Greyhound as a pet in your home as a part of your family. This breed should not be kept outdoors or left outside unattended for any extended period of time.
You must agree to have your rescue dog wear an identification tag at all times. IGCA Rescue will provide all rescue dogs with an identification tag free of charge.
You must agree to maintain necessary vaccinations recommended by your vet and be responsible for licensing your dog according to regulations in your community.
You must contact the IGCA Rescue Representative and provide notification of any change in contact information from that listed on this application.
You must notify the IGCA Rescue Representative if you cannot keep your rescue dog for any reason. The rescue dog may not be given to a humane shelter, other rescue group, or individual, without the consent of IGCA Rescue.
A minimum donation of $250 upon adoption is requested and is non-refundable. The IGRF Rescue fund is maintained by the IGRF Treasurer and all donations are payable to the ‘IGRF Rescue’. The IGRF Rescue fund is comprised of donations by IGCA members, those interested in the well being of the breed, and adoption donations.
IGCA Rescue reserves the right to refuse any adoption.
I CERTIFY THAT I HAVE READ THE ABOVE AND AGREE TO ABIDE BY THE REQUIREMENTS SET FORTH. IF I QUALIFY AND RECEIVE AN ITALIAN GREYHOUND FROM IGCA RESCUE, I WILL ACCEPT FULL RESPONSIBILITY FOR THIS ITALIAN GREYHOUND.
I understand that IGCA Rescue reserves the right to repossess the rescue dog should any portion of this contract be breached by the adopter(s) or if it is determined the rescue dog is abused or neglected in any way.
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