IGRF Rescue Adoption Application

IGRF Rescue
Rule

Name:
Street Address:
City:   State:   Zip:
Phone Numbers:  Home: ( ) -       Email:
                             Work: ( ) -       Best Time to Call:
Occupation:       Spouse/Partner Occupation:

PLEASE TELL US WHY YOU WANT TO ADOPT AN ITALIAN GREYHOUND RESCUE:

HAVE YOU EVER OWNED THIS BREED BEFORE? Yes No
  IF YES, IS THE DOG STILL RESIDING WITH YOU? Yes No N/A
    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? Yes No
IF YES, WHAT KIND(S) AND WHAT IS THE CURRENT STATUS OF YOUR PET(S)? PLEASE INCLUDE ALL IN PAST TEN YEARS.

NAME	SPECIES/BREED	AGE	YR OBTAINED/IF DECEASED, WHEN/CAUSE OF DEATH

  ADDITIONAL PET HISTORY (IF APPLICABLE):

  ARE ALL THE DOGS/CATS YOU CURRENTLY OWN SPAYED OR NEUTERED? Yes No N/A
  ARE ALL THE DOGS/CATS YOU CURRENTLY OWN VACCINATED? Yes No N/A
  DO YOU USE A HEARTWORM PREVENTATIVE? Yes No N/A
    IF YES, WHAT TYPE?
  PLEASE LIST YOUR VETERINARIAN'S NAME AND PHONE NUMBER FOR CURRENT OR PAST PETS (IF APPLICABLE):

  MAY WE HAVE YOUR PERMISSION TO CONTACT YOUR VETERINARIAN AS A REFERENCE? Yes No N/A

HAVE YOU EVER GIVEN AN ANIMAL AWAY OR SURRENDERED ONE TO A SHELTER? Yes No
IF YES, PLEASE EXPLAIN:

HAVE YOU EVER APPLIED TO ANY OTHER RESCUE GROUPS? Yes No
  IF YES, PLEASE PROVIDE A TELEPHONE CONTACT: ( ) -
  WAS YOUR APPLICATION APPROVED? Yes No N/A
    IF NO, PLEASE EXPLAIN:

HAVE YOU EVER BRED A PET? DO YOU CURRENTLY BREED ANY ANIMALS?
Yes No Yes No

WHICH OF THE FOLLOWING BEST DESCRIBES YOUR CURRENT LIVING SITUATION?
  OWN:        HOME          APARTMENT          CONDOMINIUM
                     LIVING WITH RELATIVES
  RENT:        HOME          APARTMENT (IF RENTING, YOU WILL BE ASKED TO INCLUDE WRITTEN PERMISSION)

NAME OF LANDLORD:             PHONE: ( ) -
DOES YOUR LANDLORD ALLOW PETS? YES NO N/A
ANY RESTRICTIONS? YES NO N/A
  IF YES, PLEASE DESCRIBE RESTRICTIONS:

DO YOU HAVE A PRIVATE YARD? Yes No
IF YES, IS THE YARD FENCED? Yes No N/A TYPE & HEIGHT OF FENCE:
CAN THE GATE BE OPENED FROM THE OUTSIDE? Yes No N/A

IF YOU DO NOT HAVE A FENCED YARD, ARE YOU WILLING TO TAKE THE DOG OUT ON A LEAD AS OFTEN AS EVERY SEVERAL HOURS TO RELIEVE ITSELF?

Yes No N/A

DO YOU HAVE A DOG DOOR? Yes No
IF YES, DO YOUR DOGS HAVE ACCESS TO THE YARD WHEN NO ONE IS HOME? Yes No N/A

HOW AND WHEN WILL YOUR DOG GET EXERCISE?

DO YOU HAVE A LOT OF STAIRS, BALCONIES OR TALL DECKS? Yes No

DO YOU HAVE A POOL? Yes No
IF YES, IS IT COMPLETELY FENCED SO THAT PETS CANNOT GET TO IT WITHOUT SUPERVISION? Yes No N/A

DO YOU USE A LAWN SERVICE OR USE CHEMICALS ON YOUR YARD? Yes No

WOULD YOU CONSIDER MOVING TO A LOCATION THAT DOES NOT ALLOW PETS? Yes No

DO YOU FREQUENTLY HAVE VISITORS? Yes No CHILDREN VISITORS? Yes No

WHO WILL BE THE PRIMARY CARETAKER OF YOUR RESCUE DOG?

DO YOU TRAVEL OFTEN? Yes No
IF YES, WHO WILL TAKE CARE OF YOUR DOG WHILE YOU ARE GONE?

IS THE DOG A GIFT? Yes No FOR WHOM?

HOW MANY HOURS A DAY WILL YOUR IG BE LEFT ALONE?

PLEASE LIST ALL ADULTS IN THE HOUSEHOLD AND THE HOURS THEY ARE TYPICALLY HOME:
(For example: "Charles leaves for work at 7:30 AM and returns at 5:30 PM, and I leave at 9:00 AM and return around 3:00 PM.")

PLEASE LIST ALL CHILDREN IN THE HOUSEHOLD ALONG WITH THEIR AGES AND INTERESTS:

  WILL THE CHILDREN BE EXPECTED TO CARE FOR THE DOG? Yes No N/A
    IF SO, IN WHAT CAPACITY?

DOES ANYONE IN THE HOME HAVE PET RELATED ALLERGIES? Yes No
IF YES, PLEASE EXPLAIN:

WOULD YOU DESCRIBE THE ACTIVITY LEVEL IN YOUR HOUSEHOLD AS: Low Medium High

WHERE WILL YOUR RESCUE STAY WHEN NO ONE IS HOME?
LOOSE IN YOUR HOME
CRATE
BASEMENT
GARAGE
FENCED YARD
DOG RUN
CHAINED/TIED
OUTSIDE KENNEL
LOOSE OUTDOOR
OTHER

...AT NIGHT?
LOOSE IN YOUR HOME
CRATE
BASEMENT
GARAGE
FENCED YARD
DOG RUN
CHAINED/TIED
OUTSIDE KENNEL
LOOSE OUTDOOR
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?

Yes No

IF THE DOG MAKES A MISTAKE, PLEASE DESCRIBE WHAT KIND OF CORRECTION YOU WILL MAKE

HAVE YOU EVER CRATE TRAINED A DOG BEFORE? Yes No

IF NO, DO YOU OBJECT TO THE DISCRIMINATE USE OF A CRATE OR LIDDED WIRE PEN AS ADVISED BY YOUR IGRF REP?

Yes No N/A

IF YES, PLEASE EXPLAIN:

ARE YOU WILLING TO PURCHASE A CRATE/PEN IF YOU DO NOT HAVE ONE? Yes No N/A

ARE YOU PLANNING ON PAPER TRAINING? Yes No

HOW DO YOU FEEL ABOUT ANIMALS ON THE FURNITURE?

ARE YOU PLANNING TO ATTEND CLASSES OR ANY OTHER DOG ACTIVITY WITH YOUR DOG? Yes No
IF YES, WHAT KIND?

WHAT ARE YOU PLANNING ON FEEDING YOUR IG?
DO YOU FEED: ONCE A DAY TWICE A DAY FREE FEED OTHER

DO YOU HAVE A PREFERENCE REGARDING THE AGE AND/OR SEX OF YOUR RESCUE DOG? Yes No
IF YES, PLEASE EXPLAIN:
WOULD YOU CONSIDER SOMETHING OTHER THAN YOUR STATED PREFERENCE? Yes No N/A
WOULD YOU CONSIDER A SPECIAL NEEDS DOG? Yes No
WOULD YOU CONSIDER AN OLDER DOG? Yes No

ARE YOU WILLING/ABLE TO BE FINANCIALLY RESPONSIBLE FOR ALL ROUTINE, UNEXPECTED AND EMERGENCY CARE FOR YOUR RESCUE DOG?

Yes No

DO YOU AGREE TO CONTACT IGRF RESCUE AND RETURN THIS IG IF YOU EVER FIND YOU CANNOT KEEP HIM/HER?

Yes No

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 CONDUCT A HOME VISIT IN YOUR HOME TO VERIFY THE INFORMATION YOU HAVE PROVIDED?

Yes No

DO WE HAVE YOUR PERMISSION TO DO A FOLLOW-UP VISIT AFTER ADOPTION? Yes No

DO YOU HAVE ANY ADDITIONAL COMMENTS THAT WILL ASSIST US IN OUR CONSIDERATION OF PLACING A DOG WITH YOU?