Please print this application and mail it to the representative nearest you or cut, paste and send email.

 

Greyhound Pets Of America- Michigan

(269) 343-2191

Adoption Application

 

Thank you for your interest in greyhound adoption. Greyhound ownership is a very rewarding responsibility. The placement of a retired greyhound athlete into a new adoptive home is taken very seriously by all greyhound rescue organizations; therefore, you will be expected to meet various requirements in order to be considered for this adoption program. If you are a conscientious pet owner, or want to become one, the process for greyhound adoption should be exciting, and one that will produce a win-win situation for you, the greyhound, and GPA-MI. This application is intended to assist Greyhound Pets of America-Michigan (GPA-MI) in evaluating the willingness and ability of a prospective greyhound adopter(s) to meet this responsibility. Adopting a retired greyhound is a process in itself and involves dedication, patience and an abundant love for the retired racer. These dogs have some definite needs moving from a racetrack environment into a home environment, making adjustments that they have never experienced before. You will need to be their constant teacher and guide in order for them to make this transition a successful one. Ask your GPA representative lots of questions and be prepared to answer those you will be asked. As you complete this application, be certain you are willing to share your patience, time and love with a retired greyhound....they are well worth your investment!

APPLICANT INFORMATION:

Name ___________________________________________Co-Applicant__________________________________

Address _________________________________________City ___________________State _______Zip_________

Home Phone _____________Cell Phone__________________Best time to contact you________________________

E-mail Address: __________________________________________________________________

May we contact you at your place of employment? ___Yes ___No Work Phone__________________________

Occupation ___________________________________Co-Applicant Occupation____________________________

Number of children at home _____________Children’s Ages____________________________________________

(We discourage adopting with children under 3 years old unless special arrangements are made.)

Do you live in (check one) ___HOUSE ___MOBILE HOME ___APARTMENT ___CONDO

Do you own or rent? ___________If renting, landlord’s name __________________________Phone____________

Would you object to an inspection of the premises by a representative of GPA-MI? ___Yes ___No

How many hours will the dog be alone each day?_____________________________________________________

Are you willing to crate the greyhound when it is alone? ___Yes ___No

Do you have a fenced yard? ___Yes ___No What height and type?_____________________________

GPA-MI WILL NOT APPROVE AN ELECTRIC FENCE

If you do not have a fenced yard, are you committed to leash walking your greyhound? ___Yes ___No

Your household activity level is (check one) ___QUIET ___MODERATE ___ABOVE AVERAGE ACTIVITY

Do you currently own a dog? ___Yes ___No If so, what breed_________________________________________

Is the dog still with you? ____Yes ____No If not, why?______________________________________________

Do you have a cat (s)? ____Yes ____No Outdoor/Indoor?_______________________________________

Please list other pets/small animals in your household (male/female, age and name)__________________________

____________________________________________________________________________________________

Do you prefer: Female greyhound_____ Male greyhound_____ No Preference_____

Would you consider adopting a senior (age 7+) or special needs greyhound? _____Yes _____No

Minimum routine food and medical costs for a greyhound average approximately $500 per year. Are you prepared to assume the financial responsibility for food and medical care? ____Yes ____No

How did you learn about GPA-MI?________________________________________________________________

 

 

REFERENCES:

Do you currently have a veterinarian? ___Yes ___No

Veterinarian Name/Address ________________________________________________Phone_____________

Our first reference check is with your veterinarian to ensure that your existing pets are current on annual vaccinations and receiving heartworm preventative. This application will be rejected immediately if, after consulting with the above veterinarian, it is found that vaccinations and heartworm preventative are not current on other household pets.

PLEASE LIST TWO PERSONAL REFERENCES (NON-RELATIVES)

1) Name _____________________________________________Relationship______________________________

Phone ______________________________________How long have you known this person?__________________

2) Name _____________________________________________Relationship______________________________

Phone ______________________________________How long have you known this person?__________________

ADOPTION FEE

Our adoption fee of $225 covers the cost of spay/neuter, vaccinations, dental procedure to clean teeth, and heartworm/intestinal parasite check. These services will be performed by veterinarians participating in our adoption program, unless other prior arrangements have been made by GPA-MI.

I understand that in order to complete processing of this application, a visit to my home may need to be scheduled by a representative of GPA-MI. By submitting this application, I agree to such a scheduled visit. I also certify that all information on this application is true and correct.

 

Applicant ____________________________________________________Date_____________________________

Co-Applicant _________________________________________________Date_____________________________

 

Please mail the completed application to the GPA-MI Area Representative nearest you:

Grand Rapids Area                                                              Carol Haskin 2173 130th Avenue Hopkins, MI 49328                                                                                     Phone: 269/793-3067                                      

Adoption Coordinators:                                                        Amanda Pitsch 616/677-0601                                          

Kalamazoo/Battle Creek/Plainwell                                  Ronda Herbert 1122 Homecrest Kalamazoo, MI 49001 Phone: 269-383-1042                             cbar1_99@yahoo.com

 Adoption Coordinators:                                                   Nicole Wagner 269/579-0664                                           Kimberly Miller 269/579-0664

Cadillac & Surrounding Areas                              Janet Gibson 118 Lofgren Road Cadillac, MI 49601                                                                                    Phone: 231-876-0512  greys@genuous.net

          

Southern Michigan/Northern Indiana                  Ruth Perry 25420 Mintdale Road Sturgis, MI 49091                                                                         Phone: 269/651-7395 or 651-5030   rperry@myrural.com

Adoption Coordinators:                                         Diane Babcock 269/483-9246                                      Dee Garman 269/483-9246                                       Becky VanZile 269/651-8844

Niles/South Bend/St. Joe/Benton Harbor  Vickie Green 507 Woodruff Street Niles, MI 49120                                                                     Phone: 269-684-8003 wemaggert@hotmail.com

Adoption Coordinator:                                     Janet Shyne 269/468-6365