Application form

Greyhound Adoption Program (NSW), Inc.
P.O. Box 24 Belrose West NSW 2085

Ph/Fax 02 9452 3446

Email: adoption@gapnsw.org.au

Thank you for your expression of interest in sharing your home and companionship with a retired Greyhound.

These ex-racers are usually between two and five years old - young enough to offer a long and fruitful friendship, but past the difficult puppy stage.

In order to ensure compatibility with your intended companion, we request your cooperation with the following questionnaire. Please complete all sections.

Note that the webmaster is having problems getting this form to work properly at the moment. If you have not heard back from us in a few days, can you please contact us on the phone number above?

 

Name

Name(s):

Mobile phone number

Work phone number

Home telephone number

Contact Details

Street address * required field

Suburb: * required field

Postcode * required field

Email address:

Occupation(s)

How many adults in your household?

Are there any children living with you?

Yes No

If yes, what is/are their age(s)?

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Type of residence

House Townhouse Unit Other

Do you own or rent?

Own Rent

 
If you are a renter, or if your residence is governed by a body corporate, do you have permission to own a pet - in particular - a large dog?

Is the yard fully fenced?

Yes no

If yes, what is your minimum fence/gate height?

Of what material is the fencing composed?

Where would your dog be kept during the Day? At night? (Please indicate) * required field

Approximately, how many hours per day would your pet be home alone?

Do you have other dogs?

Yes No

If yes please indicate breed / sex / age / whether intact or neutered.

Do you have any cats?

yes no

If yes where do they live?

Inside? Outside? Both?

Do you have any other pets? please specify.

If you do not have a dog at present, have you owned a dog previously? Please give details.

Do you have any preference regarding your greyhound?(eg. age, sex, other preference - please specify)

Would you consider adopting an older dog? (Six years or older)

Yes No

Are you aware of the current muzzling requirements?

Yes No

What are your reasons for choosing a retired Greyhound?

How did you learn about the Greyhound Adoption Program (GAP)?

Please add any additional information that might assist us in selecting the right Greyhound for you.

Please give details of two referees that you have known for at least two years (nextdoor neighbour etc) List name, address and phone number. If you currently, or have recently owned pets, please include your vet's details.