ROCKET ANGEL ITALIAN GREYHOUND RESCUE ADOPTION APPLICATION

Applicant Name: _________________________________________________________

Co-Applicant Name (Spouse/partner): ________________________________________

Street Address: __________________________________________________________

City: ________________________________ State:________   Zip: ________________

Home phone: ___________________________________________________________

Cell phone: _____________________________________________________________

Work phone: ___________________________________________________________

Email address: __________________________________________________________

Occupation: ____________________________________________________________

Employer: ______________________________________________________________

Employer Street Address: __________________________________________________

City: ________________________________ State:________   Zip: ________________

Spouse/Partner Occupation: ________________________________________________

Spouse/Partner Employer: _________________________________________________

Spouse/Partner Employer Street Address: _____________________________________

City: ________________________________ State:________   Zip: ________________

Please list everyone residing in your home, their ages, and the hours they are at home, including yourself.

Name: _________________ Age: ______ Hours at home: ________________________

Name: _________________ Age: ______ Hours at home: ________________________

Name: _________________ Age: ______ Hours at home: ________________________

Name: _________________ Age: ______ Hours at home: ________________________

Name: _________________ Age: ______ Hours at home: ________________________

Name: _________________ Age: ______ Hours at home: ________________________

Why do you want to adopt an Italian Greyhound? ___________________________________________________________________________________________________

Have you ever heard of, or had, this breed before?        Yes            No   

Where did you hear about the IG? ___________________________________________

Is everyone in your family agreeable to having a dog?      Yes       No      Unsure

Who will be the primary caregiver? __________________________________________

Will anyone else help?      Yes             No            Unsure 

Who? _________________________________________________________________

Does anyone in the house have pet allergies?         Yes            No           Unsure

If yes, please explain: _____________________________________________________

Do you have any other pets?        Yes            No

If you answered yes, please list all other pets in the house by breed, type, and age: _________________________________________________________________________________________________________________________________________

Are these pets up to date on vaccinations and health care?     Yes       No       N/A

Do you use heartworm prevention?   Yes          No         N/A

If yes, what kind? _________________________________________________________

Have you ever given a pet away/surrendered a pet to a shelter or rescue?   Yes    No

If yes, please explain: _________________________________________________________________________________________________________________________

Have you ever applied to another rescue?    Yes       No      Unsure

If yes, which one? ________________________________________________________

Please provide rescue name/contact information if applicable:  ___________________________________________________________________________________________

Was your application approved?        Yes        No       N/A

Did you have a good experience?      Yes        No       N/A

Please provide details. ________________________________________________________________________________________________________________________

Which of the following describes your current living situation? (Circle one) Own Home       Own Condo       Rent Home       Rent Apartment      Other

If applicable, what is the name of your landlord?  ________________________________

What is his/her phone number? ______________________________________________

(If you rent, your landlord must verify that you are allowed to have pets.)

Do you have a private, fenced-in yard?  (Circle one)    Yes     No   

How large?  _____________________

Type/height of fence: ____________________________________________________

Can your gate(s) be opened from the outside?   (Circle one)    Yes        No    

If you answered yes, can you lock it or put a lock on it?  (Circle one)    Yes       No      Unsure

(We recommend it. Dog theft is, unfortunately, all too common. Dogs are used as bait and for laboratory experiments. Don’t let yours be one of them! Children can open a gate, or forget to close it. These are sight hounds…they see it, they’re gone!)

If your yard is not fenced, would you be willing to fence it as part of the adoption agreement? (Circle one) Yes       No      Unsure

If you do not/cannot have a fenced-in yard, what will you do to give your dog exercise and potty breaks? __________________________________________________________


Do you have stairs, balconies, or decks?  (Circle one)  Stairs    Balconies    Deck(s)    None

Do you have a pool?  (Circle one)  Yes       No            

If so, what will you do to safeguard the dog from falling in or drowning? ___________________________________________________________________________________


Do you use chemicals on your lawn? (Lawn chemicals be a hazard, cause death, an allergic reaction, or cancer after repeated exposure.)  (Circle one)    Yes       No      Unsure

Will you install a dog door?  (Circle one)  Yes       No       Unsure

Where will the dog stay during the day, or while primary caregiver is at work?  ______________________________________________________________________________

Where will your dog sleep at night?  ______________________________________________________________________________________________________________

Are you familiar with crate training? (Circle one)       Yes           No    

If you answered no, would you be willing to learn? (Circle one)     Yes       No       N/A

Are you familiar with clicker/operant training? (Circle one)             Yes       No   

If not, may we recommend classes and tell you more about it? (Circle one)    Yes    No    N/A

How do you feel about pets on the furniture? _______________________________________________________________________________________________________

If your dog misbehaves or has an accident, how will you correct it? _______________________________________________________________________________________

Do you travel frequently?   (Circle one)     Yes       No  

If so, what accommodations, if any, will you make for your dog? ________________________________________________________________________________________ 

Do any friends/relatives/children/roommates have access to your home when you are not present?  (Circle one)    Yes       No  

How will you safeguard your pet from these people, who may not know how to care for your pet? _______________________________________________________________

Is there anyone in your home with special needs? (Circle one)  Yes       No 

If so, please explain. __________________________________________________________________________________________________________________________

Have you ever considered pet insurance?  (Circle one)    Yes       No      Unsure

We suggest VPI (Veterinary Pet Insurance), affordable and available online at www.veterinarypetinsurance.com.

What activities might you and your pet enjoy together? ________________________________________________________________________________________________

Is there a dog park near you? (Circle one)  Yes       No       Unsure

What do you enjoy most about pet ownership? _____________________________________________________________________________________________________

What do you enjoy least? _____________________________________________________________________________________________________________________

Do you consider yourself to be…(Circle one)    A dog/pet owner    A dog/pet “parent”    Both       

How would you describe your household activity level?  (Circle one)    Very quiet     Easy going     Usually something going on        Lots of noise/activity         Entertain frequently

Are you expecting a child/planning for one in the future?  (Circle one)  Yes      No      Unsure

Have you considered what the dog’s role will be within the new family unit, and how a new child will affect your pet?   (Circle one)     Yes       No       N/A

Will you be able to handle the added responsibility? (We ask this for the dog’s sake, as re-homing multiple times can be very upsetting to a dog.)    (Circle one)    Yes       No       N/A

Will you teach your children respect and tolerance?   (Circle one)      Yes       No       N/A

Are you willing to take any of the following? (this will not affect your application): (Circle all that apply) Seniors       Special Needs      Needing medication      Physically handicapped     


Last, but not least, we’ll need your references.

Current veterinarian’s name: _______________________________________________

Street Address: __________________________________________________________

City: ________________________________ State:________   Zip: ________________

Work phone: ___________________________________________________________

Email address: __________________________________________________________

Two non-relatives for reference:

Name of first reference: ____________________________________________________

Phone: _________________________________________________________________

Email: _________________________________________________________________

Name of second reference: _________________________________________________

Phone: _________________________________________________________________

Email: _________________________________________________________________


Please carefully consider the financial costs and responsibilities of pet ownership, especially of the toy breeds like the IG that are fragile and sensitive.

IGs can live to be as old as 20 years old, and will need you even more as a loyal senior than they did as a younger dog. They need you to experience the journey with them, even when the going gets tough and it is hard for you to watch. You must not forsake them. They need you there at the end as well as the beginning.

IGs are house dogs. They enjoy a romp outside and sunning in the green grass, but they do not belong outside all day in the yard or a kennel. IGs need to be a part of the family, and will perish from exposure to heat or cold or just plain lack of love and attention. IGs need to be fed an exceptionally good diet. If you are not sure what that entails, please ask, and we will be glad to educate you. We are always available to answer questions or to steer you to someone who can.

IGs need to be fed once or twice daily, dependent upon age and needs. Free feeding is not suggested! We don’t want a butterball! IGs also need to have their teeth brushed! This is not weird, it is routine, and will prevent dental/vet bills in the future. Poor oral hygiene can lead to other bodily diseases, as the infection spreads from the gums and into the bloodstream! Please inquire about our oral hygiene recommendations!

IGs need to be kept on a leash at all times outside of the house! Italian Greyhounds are ‘sight hounds,’ meaning if they see something, they run for it without thinking. Then, if they survive that, they may be too spooked to return. This breed was bred for the master’s pleasure only, to be spoiled and loved, and to this day, IGs remain childlike in their thinking. This is another reason we suggest clicker training. Depending upon where you live, we may be able to guide you to a class nearby. Your dog’s life may depend upon it. If nothing else, a clicker training class may help your dog become even more of a joy to live with! (Don’t be fooled by obedience training, it is old fashioned, and not as dog-friendly.)

Are you prepared to make a lifelong commitment to your dog?   (Circle one)    Yes         No  

Are you willing and able to accept full and immediate emotional responsibility for your new pet? (Circle one)  Yes       No   

Do you realize that some rescued dogs need more love, attention, and patience due to prior abuse and neglect? (Some may have accidents indoors for a few weeks even though they are “potty trained” due to stress.)    (Circle one)     Yes       No   

If your new dog “acts out,” are you willing to seek out why? (Circle one)  Yes       No   

If, after you have had this dog for awhile, he or she suddenly acts up, won’t eat, has potty accidents, or bites for no reason, will you consider that it may be for a reason unknown to you, perhaps they are sick or upset?  (Circle one)  Yes       No   

I acknowledge that the information contained in this application is correct and up-to-date to the best of my knowledge, and I look forward to providing a rescue dog or other pet with the love, nurturing, and attention he or she so deserves.

Printed Name: _____________________________________      Date: __________

Signature: _________________________________________     Date: __________

Thank you! We will be in touch with you soon.