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Whippet Rescue Application

First Name: Last Name:
Street Address:
City:
State: Zipcode: Home Phone:
Work Phone:
Email:

Married Single Divorced Widowed

Spouse/Significant Other's Name:
Number of adults in household: Ages of Adults?
Number of children in household: Ages of children?

Type of dwelling: House Apartment Townhouse Duplex
Other

Do you have a fenced yard? Yes No
Is it small, medium or large?
How tall is the fence?

Do you Own Rent
If you rent, please provide you landlords name, address and phone number:

Does your rental agreement allow pets? Yes No

Name and address of nearest relative not living with you:

Are all family members in agreement with the adoption? (Please comment)

Please list all animals living with you currently (caged animals as well as livestock). Be sure to include name, type/breed, age, if spayed/neutered and how long you've had them:

If you have a dog at your residence now, have you ever introduced a new dog at your residence? Yes No

How did your dog react?

Have you ever owned a Whippet other Gazehound before? If other, what breed
still have died other
Please explain if you checked “other” or tell us how the dog died.

Who is your regular veterinarian? Clinic
Doctor
Phone:
Vet address:

Check as many as apply
What do you want your Whippet to be?

Breeder Watchdog Racer Obedience
Housepet Lure Courser Show Dog Field Courser

What will your Whippet need to get along with?

Other dogs Cats Birds Small Rodents
Livestock Children Men Women

Other (please comment)

I prefer a Whippet that is

Senior (8-12 years) Adult (2-8 years) Older Puppy (6-24 months) Younger Puppy (3-6 months)
Male Female A certain color (specify color)

Please note that young puppies are not frequently available.

Where will your Whippet be most of the time?
inside the house outside in yard outside in kennel

How will you contain the dog during your abscences from home?
Crate Kennel Loose in house Loose in house with dog door access
Outside in the yard

How many hours a day will the dog be alone?

Where will the dog sleep?

How do you plan to exercise your Whippet?

What specifically attracted you to the Whippet breed?

Do you object to a physical inspection of your premises and a personal interview? No Yes
Please list times convenient for both

Please list names and phone numbers of three (3) personal references:

Please include any additional pertinent information, to enable a better fit between dog and owner, below.

       

 

 

 

Contact Brigitte Greenberg