Wufoo
Greyhound Adoption League of South Florida
P.O. Box 221984
West Palm Beach, FL 33422
www.greyhoundadoptionleague.org
(561) 615-0818
Name of Applicant
*
First
Last
Date
*
/
MM
/
DD
YYYY
Spouse Name
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Home Phone
*
-
(###)
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###
####
Work Phone
*
-
(###)
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###
####
Is your mailing address different from the one you provided above?
*
Yes
No
If so, please provide your mailing address here.
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Number of adults in household
*
Number of children
*
Boys
Ages
1-7
8-15
16-18
Girls
Ages
1-7
8-15
16-18
Would you prefer a male or female dog?
*
Male
Female
No Preference
Do you currently own any other dogs?
*
Yes
No
If so, what are their breed(s)?
Please list any other pets you own.
What type of house do you live in?
*
Single-Family Home
Apartment
Townhouse
Mobile Home
Condo
Duplex
Other
Do you own or rent?
*
Own
Rent
If you rent, please list your landlord's name, address, and phone number.
Do you have a fenced yard?
Yes
No
Do you live on a lake or a pond?
*
Yes
No
How many hours a day will your Greyhound be left alone?
*
0-3
4-6
7-9
9 or more
Where do you intend to keep your Greyhound?
*
Inside
Outside
Are you capable and willing to walk your Greyhound if you do not have a fenced yard?
*
Yes
No
What was your last pet?
*
What became of it?
*
Have you ever turned a pet into Animal Care & Control or the Humane Society?
*
Yes
No
If so, why?
Do you presently have a vet?
*
Yes
No
If so, who?
Please provide directions to your house.
Terms & Conditions
The greyhound you are applying to adopt as a pet is a retired racer and you must agree to keep the greyhound solely as a pet and never allow the greyhound to be used for racing, hunting, or for research/experimental purposes or any other use other than a pet.
Before you adopt your greyhound, the dog will have the following:
Occult Heartworm check
DA2LP-CPV & Corona vaccine
Rabies vaccine, owner is
responsible for tag
Bordatella vaccine
Sterilization- spay or neuter
Teeth cleaned and polished
Thorough physical exam
Worming check
Flea and Tick bath
The adoption fee is $200.00
After six months, your greyhound must be taken to a veterinarian for semi-annual shots. Please have a name tag made for your greyhound pet’s collar, so if at any time your greyhound gets loose or lost, you will be glad that whomever finds your pet will be able to call you and you will be able to get your pet back.
Before adoption, a representative will make an appointment and come to your home to explain all about greyhounds and answer any questions you may have.
After adoption, please feel free to call if you have any questions and a follow up call or visit will occur.
You must realize that greyhounds can NEVER be tied on a rope/chain. They are sight hounds and could seriously injure or kill themselves if they saw something and tried to chase it. You must agree to ALWAYS walk your Greyhound on a leash unless in a completely fenced area.
Do you agree to these terms & conditions?
Yes
No
Do Not Fill This Out