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N.C.G.C. occasionally experiences glitches with our online applications.  You can expect to hear from a representative within 24-48 hours and if you have not heard from N.C.G.C., we may not have received it. Please call toll free at 1-877-NCGC-DOG  or email JoAnn Fuchs, Adoption Coordinator, at jlfuchs2@aol.com if you do not receive an initial response within 24 hours.  Thank you.                                                          

 

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Adoption Application

Our objective is to place retired racing Greyhounds into loving homes that will benefit both the Greyhound and the adopter. Please fill out this application with as much detail as possible. Your application will be processed without delay and one of our representatives will contact you within 24-48 hours from the submission of your application. Please email JoAnn Fuchs, Adoption Coordinator, at jlfuchs2@aol.com, if you do not receive a reply from us within 24 hours of the submission of your application.

Full Name*

Home Phone*

Work Phone

Email Address*

Street Address*

City, State, Zip*

Number of Adults in Household*

Number of Children in Household*

What are the children' ages?

Type of Dwelling*

Rent or Own

Landlord's Name

Landlord's Phone Number

Can you obtain written permission from you landlord?

Do you have a fenced in yard? (It is the policy of NCGC that a fence is required with a minimum height of 42". Exceptions must be approved by the NCGC Board. Sorry, no electric fences for Greyhounds)

Yes
No

If so, please describe (height, type)

If not, would you consider putting one up?

If no fence, are you willing and able to walk your Greyhound outside 4 to 6 times a day?

Yes
No

Have you ever owned a dog before?

Yes
No

What breed were they, and what became of the dog(s)?

List any other pets age, sex, and breed that you may own.

If dogs, are they spayed/neutered? If not, why?*

Do you currently give monthly heartworm medication to your dog(s)? If so, from where is it purchased? Please list the name of the medication.*

If you are not giving your dog(s) monthly heartworm medication, then explain why?

Where do your pets sleep at night?

How many hours a day will your Greyhound be left alone?*

What reasons, if any, would you have for returning your Greyhound? (ex. retiring, allergies, moving, new baby, specific behavior issues...)

What length of time will you give your greyhound to adjust to his/her new home?

Do you have a veterinarian?

Yes
No

If so, for how long?

Veterinarian's name, address and phone number. *

Why do you want to adopt a Greyhound?*

What do you desire in a Greyhound? (Sex, Size, Etc.)*

Are you willing to accept a substitution?

Yes
No

Would you consider adopting a senior or special needs greyhound?*

How did you hear about NCGC?*

How did you learn about Greyhound Adoption?*

Have you applied to any other rescues besides N.C.G.C.? If so, what was the outcome?

List Three Personal References (With Contact Info) you have known for at least three years. (Please do not list Relatives)*

During the first year, are you willing to let a representative from North Coast Greyhound Connection, Inc. come to your home to check on the Greyhound?

Yes
No

Do you understand that ownership of the dog will be subject to the conditions set forth in this application, and if the dog is judged to be kept in any type of unacceptable environment by NCGC, then NCGC is entitled to regain ownership of the dog?

Yes
No

Do you take full responsibility for all care and any future liability concerning this dog, once you take custody?

Yes
No

Do you agree to immediately notify North Coast Greyhound Connection if the Greyhound is lost and promise to keep a collar with tags bearing identification on your Greyhound at all times?

Yes
No

Do you promise and agree to keep your Greyhound solely as a house pet, and agree to never use it for racing, hunting, or research experiments?

Yes
No

Do you promise and agree to return your greyhound to North Coast Greyhound Connection, Inc. if for any reasion you can not keep your Greyhound?

Yes
No

Do you promise not to sell or give away your Greyhound without written permission from North Coast Greyhound Connection?

Yes
No

I understand and agree that the Greyhound can NEVER be tied out on a chain or rope, can never be turned loose outside except in a fenced-in yard, and can NEVER be taken outside without a leash

Yes
No

I understand and agree that if we desire a specific dog and put a deposit on said dog, the deposit is non-refundable if we decide not to adopt that dog.

Yes
No

Please enter the phrase as it is shown in the box above.