IGCA Rescue
Member of American Kennel Club
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? 
  IF YES, IS THE DOG STILL RESIDING WITH YOU? 
    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? 
  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? 
  ARE ALL THE DOGS/CATS YOU CURRENTLY OWN VACCINATED? 
  DO YOU USE A HEARTWORM PREVENTATIVE? 
    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? 
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:     
HAVE YOU EVER BRED A PET?                       DO YOU CURRENTLY BREED ANY ANIMALS?
                                                                              
WHICH OF THE FOLLOWING BEST DESCRIBES YOUR CURRENT LIVING SITUATION? 
  OWN:                         
                    
  RENT:                         
NAME OF LANDLORD:              PHONE: ( -
DOES YOUR LANDLORD ALLOW PETS? 
ANY RESTRICTIONS? 
  IF YES, PLEASE DESCRIBE RESTRICTIONS:
    
DO YOU HAVE A PRIVATE YARD? 
  IF YES, IS THE YARD FENCED?          TYPE & HEIGHT OF FENCE: 
    CAN THE GATE BE OPENED FROM THE OUTSIDE? 
    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? 
DO YOU HAVE A DOG DOOR? 
  IF YES, DO YOUR DOGS HAVE ACCESS TO THE YARD WHEN NO ONE IS HOME? 
HOW AND WHEN WILL YOUR DOG GET EXERCISE?
  
DO YOU HAVE A LOT OF STAIRS, BALCONIES OR TALL DECKS? 
DO YOU HAVE A POOL? 
  IF YES, IS IT COMPLETELY FENCED SO THAT PETS CANNOT GET TO IT WITHOUT SUPERVISION? 
DO YOU USE A LAWN SERVICE OR USE CHEMICALS ON YOUR YARD? 
WOULD YOU CONSIDER MOVING TO A LOCATION THAT DOES NOT ALLOW PETS? 
DO YOU FREQUENTLY HAVE VISITORS?            CHILDREN VISITORS? 
WHO WILL BE THE PRIMARY CARETAKER OF YOUR RESCUE DOG?
  
DO YOU TRAVEL OFTEN? 
  IF YES, WHO WILL TAKE CARE OF YOUR DOG WHILE YOU ARE GONE? 
IS THE DOG A GIFT?        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? 
    IF SO, IN WHAT CAPACITY? 
DOES ANYONE IN THE HOME HAVE PET RELATED ALLERGIES? 
  IF YES, PLEASE EXPLAIN: 
WOULD YOU DESCRIBE THE ACTIVITY LEVEL IN YOUR HOUSEHOLD AS: 
WHERE WILL YOUR RESCUE STAY WHEN NO ONE IS HOME?                    










...AT NIGHT?










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? 
IF THE DOG MAKES A MISTAKE, PLEASE DESCRIBE WHAT KIND OF CORRECTION YOU WILL MAKE
  
HAVE YOU EVER CRATE TRAINED A DOG BEFORE? 
  IF NO, DO YOU OBJECT TO THE DISCRIMINATE USE OF A CRATE OR LIDDED WIRE PEN AS ADVISED BY YOUR IGCA REP? 
  IF YES, PLEASE EXPLAIN:
    
ARE YOU WILLING TO PURCHASE A CRATE/PEN IF YOU DO NOT HAVE ONE? 
ARE YOU PLANNING ON PAPER TRAINING? 
HOW DO YOU FEEL ABOUT ANIMALS ON THE FURNITURE?
  
ARE YOU PLANNING TO ATTEND CLASSES OR ANY OTHER DOG ACTIVITY WITH YOUR DOG? 
  IF YES, WHAT KIND? 
WHAT ARE YOU PLANNING ON FEEDING YOUR IG? 
  DO YOU FEED:      
DO YOU HAVE A PREFERENCE REGARDING THE AGE AND/OR SEX OF YOUR RESCUE DOG? 
  IF YES, PLEASE EXPLAIN: 
    WOULD YOU CONSIDER SOMETHING OTHER THAN YOUR STATED PREFERENCE? 
WOULD YOU CONSIDER A SPECIAL NEEDS DOG? 
WOULD YOU CONSIDER AN OLDER DOG? 
ARE YOU WILLING/ABLE TO BE FINANCIALLY RESPONSIBLE FOR ALL ROUTINE, UNEXPECTED AND EMERGENCY CARE FOR YOUR RESCUE DOG? 
DO YOU AGREE TO CONTACT IGCA RESCUE AND RETURN THIS IG IF YOU EVER FIND YOU CANNOT KEEP HIM/HER? 
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? 
DO WE HAVE YOUR PERMISSION TO DO A FOLLOW-UP VISIT AFTER ADOPTION? 
DO YOU HAVE ANY ADDITIONAL COMMENTS THAT WILL ASSIST US IN OUR CONSIDERATION OF PLACING A DOG WITH YOU?