Adoption Application

1.   We only adopt Greyhounds to homes in the following areas: all of New Jersey; and the Pennsylvania counties of Northampton, Lehigh, Berks, Chester, Delaware, Montgomery, Philadelphia and Bucks. 

2.   Due to restrictions in our insurance policy, we cannot adopt Greyhounds into homes with children aged seven or younger.

3.   The $20 fee must be submitted to our PayPal account via the DONATE button before we can process your application. Once your fee is received, we will send you a copy of Adopting the Racing Greyhound and activate your application.

Adoption Application

Step 1 of 3

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Name(Required)

First Last

Email(Required)

Phone(Required)

Address

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Occupation(Required)

Employer(Required)

Business Address, Phone, Email(Required)

Please list all adults over age 21

Age Group of Applicants:

Over 21 but Under 25

25-35

35-45

45-55

55-65

65-75

if over 75, please list age

1. How did you hear about our adoption program? If from a friend/relative, please name.(Required)

2. Why do you want to adopt a dog?(Required)

3. What other pets do you have now? Please list breed of dog, sex, age, and if spayed/neutered.(Required)

4. Approximately how many hours a day do you work outside the home? Please figure in commuting time.(Required)

5. Are there children in the household?(Required)

Please list ages and sex:

5a. Are there grandchildren/relatives or friends’ children who visit frequently?(Required)

☐ Yes ☐ No

6. Dwelling Type:(Required)

Single Family

Two-Family

Multiple

7. Do you own your own home:(Required)

☐ Yes ☐ No If no, do you have landlord’s permission to have a dog? ☐ Yes ☐ No If yes, please list his/her name and phone number:

8. Do you have a fully fenced area attached to your home?(Required)

☐ Yes ☐ No 8a. What type of fencing? 8b. What height?

9. If not, is there a fenced area nearby where you can exercise your dog once or twice a week?(Required)

Yes

No

N/A

10. Where do you intend to house your dog?(Required)

11. How often are you willing to take your dog outside to relieve himself?(Required)

12. Do you intend to keep your dog on a leash when outdoors unless in a fenced area?(Required)

Yes

No

13. Please provide us with the name, address and phone number of all veterinarians who know you or have treated your animals. Please list the name and type of animal and the years in your care.(Required)

I hereby give my permission to release all veterinary information to a Make Peace With Animals Representative regarding the care I give my animal(s).(Required)

Consent

Consent(Required)

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT. EVERY MEMBER OF THE HOUSEHOLD OVER THE AGE OF 21 MUST SIGN.

Signature(Required)