IGCA Rescue Adoption Application

Name:
Address:
City, State, Zip:

Phone:
Best time & day to call:
Email:Occupation:
Employer:
Phone:
OK to call?

Spouse/Partner’s Occupation:
Employer:
Phone:
OK to call?

List all people residing in your home, their ages, and the hours they are home:

Name:
Age:
Home when?

Name:
Age:
Home when?

Name:
Age:
Home when?

Name:
Age:
Home when?

Name:
Age:
Home when?

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.

How or where have you learned about this breed?

Is everyone in your home agreeable to having a pet?

Who will be primarily responsible for the pets care and training?

Does anyone in the household have any allergies to animals? If yes, please provide a brief explanation.

Do you have a veterinarian you have used before and plan to use with your new pet?
How long?
Name:
Address:
City:
State:
Zip:
Phone:
(references are checked)

Do we have your permission to contact your veterinarian as a reference?

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 currently owned spayed/neutered?
Vaccinated?

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.

Which of the following best describes your current living situation? (please check one)
Own: Home or Apartment Condominium
Living with relatives
Rent: Home or Apartment
Name of landlord and phone
If you rent, does your landlord allow pets?
Are there any covenants or restrictions on pets where you live? (If renting please include written permission)

Do you have a private yard?
How large?
Fenced?
Type and height of fence:
Can your gate (s) be opened from the outside?
Can children open the gates?
Do you have/intend to install a dog door?
Can strangers gain access to your yard?

If your yard is not fenced, would you fence all or part of it as a condition of adoption?

If you do not have a fenced area, how and where you will exercise a dog and allow it to relieve itself:

Are you aware of the vital importance of keeping your IG on a leash or in a fenced area at ALL times when outdoors and are you willing to agree to do that?

Are you willing and able to modify your daily schedule to accommodate a dog’s needs, such as: going outdoors into a fenced area or walking on a leash to perform bodily functions several times each day, coming home at lunch and/or after work to see to a dog’s needs, arranging your leisure time activities to include a dog or allow time for seeing to it’s needs if left home?

Do you have a lot of stairs in or outside your home, balconies or tall decks?
If yes, please describe the situation:

If you have a pool, is it fenced so that there is no danger of the pet gaining access to it without supervision?

Do you subscribe to a chemical lawn service or use pesticides/chemicals on your lawn?

Does anyone in your household smoke?

Where will the dog spend the day? Check all that apply.
Loose indoors
Crate
Basement
Garage
Fenced Yard
Dog Run
Chained
Outside Kennel Run
Loose Outdoors
Other
Explain:

Are you familiar with crate training?
If no, would you be willing to learn more about it and consider the use of a crate (portable cage) as a training and transitional aid?

How you do feel about dogs on furniture?

Where do you anticipate your dog will sleep at night?

If a dog misbehaves, what form of correction do you expect to use?

Do you travel frequently?
If yes, who will take care of the dog while you are away?

Is your lifestyle such that friends, relatives and children gain admittance to your home, property and car without your permission?

Do you have anyone in your home with special needs?

Are you willing and able to accept full and immediate responsibility for the ownership of an Italian Greyhound, including health care costs and necessary burdens and responsibilities of owning a pet?

Have you carefully considered the financial cost of pet ownership and are you financially prepared to give your pet the routine medical care it requires including vaccinations, heartworm preventative, flea control, dentals, etc?

Are you prepared to make a lifelong committment to your new pet?

If, for any reason, you are unable to keep your IG, will you agree to return it to IG Rescue?

Are you willing to agree to always keep your IG on a leash when not in a fenced area?

IGs must live in the house, they cannot adequately be kept in an outdoor kennel or doghouse. Are you willing to keep an IG as a pet and have it live in the house as a part of your family?

What do you plan to feed your dog? Please be specific.

Do you feed once a day, twice or more or do you free feed?

Do you currently own one or more pets?

Please describe all pets by breed, sex, age, how long owned, spayed/neutered.
Breed:
Sex:
Age:
How long owned:
Spayed/Neutered:

Are your current pets current with their vaccinations?

Is your current dog/dogs on heartworm preventive?
How many months per year?

Have you owned pets prior to any you may own now?

If you have owned pets in the past, please list them and explain what happened to them.

Were any of these rescue animals?

Have you ever found it necessary to surrender an animal to a shelter, rescue or humane organization? If so, please describe the situation.

If you have never owned a pet, have you lived in a household with pets?
If yes, did you have any dog care responsibilities?
Explain:

Have you ever trained one or more pets?
Explain:

Have you ever bred a pet?
If yes, explain:

Of the pets that you own or have owned, what do you enjoy most about pet ownership?

What do you like least?

Do you plan on doing any dog related activities with your new dog such as obedience, agility, lure coursing, camping or dog parks?
If so explain:

Please check how would you describe your household activity level?
Very quiet
Rather easygoing
Usually something going on
Lots of activity

Do you frequently entertain visitors?
Adult visitor frequency:
Child visitor frequency:

Are you expecting a child, or planning a family in the future?

Are you willing to teach your children the proper treatment and handling of a live animal?

Please provide the names and phone numbers of at least two non-related people who can recommend you as a proper adoptive family for a rescued pet.

Name:
Address:
City:
State:
Zip:
Phone:

Name:
Address:
City:
State:
Zip:
Phone:

Please provide the name, address and phone number of your nearest living relative:

Could you accept a dog with special needs or medications, for example: thyroid meds or phenobarb for seizures?

Do you have any interest in adopting an older dog?

Are you aware that some rescue pets have been abused and/or neglected and need extra love and attention, and would you be willing to work with that?

Could you work patiently with a dog who still needs some housebreaking help?

Do you have a preference as to sex?
If so, why?

Do you have a preference as to color?

What age dog are you wishing for and why?

Any other preferences?

Please feel free to write down any other information you consider relevant to your application or the home you are prepared to offer a rescue dog.

We reserve 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.

Signature:
Date:

Signature:
Date:

PLEASE RETURN THIS APPLICATION TO THE REPRESENTATIVE NEAREST YOU.

AS WE ARE ALL VOLUNTEERS WITH LIMITED TIME, PLEASE FEEL FREE TO CONTACT US PERIODICALLY CONCERNING YOUR APPLICATION