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Monday, 11 June 2007

Galgo Rescue International Network Adoption Application

PLEASE NOTE: The G.R.I.N. adoption fee only includes transportation from Spain to Denver, CO. If there are other fees associated with adopting a dog we will inform you of them as soon as we are aware of them.

Ownership of a Galgo is a serious responsibility requiring a long-term commitment. This application has been designed to evaluate potential adopters and address the suitability and permanence of each Galgo placed in a home.
 

Name(s): ________________________________________________________________

Permanent Address:_______________________________________________________

City, State, Zip Code:______________________________________________________

Mailing Address: _________________________________________________________

Home Telephone: _________________________________________________________

Work Telephone(s): _______________________________________________________

E-mail Address(es): _______________________________________________________

Occupation of Applicant(s): _________________________________________________

How did you hear about the Galgo Rescue International Network, Inc. program: (please mark all that apply)

_____Internet Search ______Friend ______Referral _____Advertising _____Event (indicate which below)

_____TV/Radio Spot

_____*Other (or further info. on option above): ____________________________________

________________________________________________________________________

Total number of adults in home: _____________________________________________  

Total number of children in home: ______________ Ages:_________________________

If children are under 8, do you agree to talk to a child/dog mentor before adopting and after adoption should any problems arise?________________

Your residence:    ____ Single family home,   ____ Condominium,   ____ Apartment

____ Duplex,   ____ Mobile Home,   ____ *Other: (describe) ______________________
 

Do you:   ____ Own,    ____ Rent, How long at present address: ___________________

If you rent; list landlord's name, address and phone number:_______________________

________________________________________________________________________
 

Do you live in a covenant controlled or otherwise restricted community? Yes____ No___

If so, please provide the pertinent contact information for your homeowners association or governing body: ________________________________________________________

________________________________________________________________________

Who will be responsible for the care and training of your Galgo?

________________________________________________________________________

Approximately how many hours would your Galgo be alone each day? _______________

If over 9, what accommodations will you make for the dog to relieve itself during the day? Doggy Door______ Pet Sitter_____ Doggy Daycare_______ Other*_____________

What is the activity level of your household?

____ Quiet,   ____ Moderately Active,  ____ Active,  ____ Very Active

What arrangements will be made for your Galgo when you travel or if you are absent from your home for an extended period of time? ___________________________________________________

Is your yard fenced? ______ If yes, please describe: _____________________________

If your yard is not fenced, what sort of exercise will your Galgo receive? _____________

________________________________________________________________________

What is your estimate of yearly expense of owning a Galgo? __________________

What does this figure include? ______________________________________________

_______________________________________________________________________

Are you willing and capable of spending the funds necessary for pet ownership? _______

Do you agree to keep your Galgo leashed at all times, when out-of doors, in an unfenced area?    

Do you agree to keep your Galgo as an indoor family pet? _________________________

Do you agree not to seclude the Galgo in a garage, basement, laundry room or other area away from the family?_____________

Where will your Galgo sleep? _______________________________________________

Do you agree to keep the buckle collar with the identification tags, including your name and address, rabies tag, and license on your Galgo at all times? ____________________________________________

Do you have a veterinarian? ______ If yes, is your veterinarian familiar with the special requirements and needs of sight hounds? ____________________________________________________________

Your veterinarian's name, address and phone number: ____________________________            

Are you aware of and willing to abide by, at all times, the local ordinances pertaining to animal/pet ownership?  

Do you agree to immediately notify Galgo Rescue International Network, Inc. should your Galgo become lost or stolen? _________________________________________________________________

Do you agree to contact Galgo Rescue International Network, Inc. if you unable or unwilling to keep your Galgo? ________________________________________________________________________

Have you ever adopted a pet from a shelter or rescue group? _______________________

Have you ever surrendered an animal to a shelter or rescue group? __________________

If yes, when and for what reason? ____________________________________________

Do you currently own a dog? ______ If yes, list breed, age and temperament _________

________________________________________________________________________

Do you have any other pets? ______ If yes, describe, list age and temperament ________

________________________________________________________________________

How many pets have you owned in the past five years? ___________________________

Please describe and note what became of them: _________________________________

________________________________________________________________________

Occasionally an older Galgo or a Galgo with special needs is available. Would you consider adopting such a dog? ________________________________________________________________________

Is there any information that you feel is important that would affect your suitability as a adopter?           

________________________________________________________________________

Why do you want to adopt a Galgo? __________________________________________

________________________________________________________________________

Are you willing and able to travel to the location that your Galgo will be arriving at from Spain or other location?_____________  If not, have you made arrangements for someone else to pick up your Galgo?__________ Please list the individual's Name and phone #

_________________________________________________________________________

Upon arrival, do you agree to be responsible for any and all medical costs of your Galgo unless prior arrangements have been made?_____________

Please list a personal reference, not a relative or household member that you have known for at least three years:

Name: _________________________________ Phone #: _________________________

Address: ________________________________________________________________

City, State and Zip Code: __________________________________________________
 

I agree to a home visit to be conducted by a trained Galgo Rescue International Network volunteer.
 

I understand and agree to the need for screening of adopters. I certify that the information supplied on this application is true and correct.
 

Signature(s) _____________________________________ Date: ___________________

_______________________________________________ Date: ___________________
 

Galgo Rescue International Network, Inc. reserves the right to approve or disapprove any and all adoption applications. The adoption fee is NON-REFUNDABLE and is payable when you receive your Galgo.
 *Please use the space below for any additional information.

 
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