APPLICATION FOR ADOPTION
ITALIAN GREYHOUND CLUB OF AMERICA RESCUE
City State & Zip:
Home Phone: Best Day & Time to Call:
Cell Phone: Best Day & Time to Call:
Work Phone: OK to call work? Yes No
People residing in home:
Other Residents: Age:
If you have no children, are there any plans to start a family in the future? Yes No
How long have you been looking to adopt a dog?
Why do you want to adopt an Italian Greyhound (IG)?
Are you familiar with the breed? Yes No
Have you owned this breed before? Yes No
How or where have you learned about this breed?
Is EVERYONE in your home agreeable to having an IG? Yes No
Who will be primarily responsible for the dog’s care and training?
Does anyone in the household have any allergies to animals? Yes No
If yes, please provide a brief explanation:
Does anyone in the household have any special needs? Yes No
Are there smokers in the household? Yes No
If so, would they smoke indoors or in a vehicle when a dog would be near?
Do you have a veterinarian you have used before and plan to use with your new pet? (references are checked)?
Yes No If Yes, how long have you used this vet?
City State & Zip:
***Please list the name of the individual(s) under which veterinary records may be found:
Be sure to include spouse, ex-spouse, and/or maiden names. Upon submission of application, please notify
the vet clinic(s) that we will be calling and they are allowed to give us requested information.
Please mention any additional information on veterinarians you have used, if needed. Also, if you have or had pets and
have never used a veterinarian you can explain here:
Is yours a:
Single Family Home Townhouse/Condo Apartment
Other (Please provide a brief explanation:)
If you rent or are a roommate of the homeowner, please provide information below:
Landlord or home owner (circle one)
Are there any covenants or restrictions on pets where you live? Yes No
How large is your yard?
Is it securely fenced? Yes No Not Applicable
Can your gate(s) be opened from the outside? Yes No
Can children open the gate(s)? Yes No
Do you have or intend to install a dog door? Yes No
Can strangers gain access to your yard? Yes No
If your yard is not fenced, would you fence all or part of it as a condition of adoption? Yes No
If you do not have a fenced area, how, where, and how often you will exercise a dog and allow it to relieve itself?
Are you aware of the vital importance of keeping your IG on a leash or in a fenced area at ALL times when
outdoors and are you willing to abide to this stipulation of adoption? If you are willing to observe this strict
condition of adoption, and keep your IG on a leash at all times when outside of a fenced area, please sign
your full name here:
Do you have a lot of stairs in or outside your home, balconies or tall decks? Yes No
If yes, please describe the situation:
If you have a pool, is it fenced so that there is no danger of the pet gaining access to it without supervision?
Yes No Not Applicable
Do you subscribe to a chemical lawn service or use pesticides/chemicals on your lawn?
Yes No Not Applicable
Is someone normally at home during the day? Yes No
If not, how many hours will the dog be alone on a normal…
Is someone able to come home to let the dog out during the day? Yes No
Where will the dog stay while you are gone? (Check all that apply)
Loose indoors Crate Basement Room gated off from the rest of the house Garage Fenced Yard
Dog Run Chained Outside Kennel/Run Loose Outdoors
Are you familiar with crate training? Yes No
If no, would you be willing to learn more about it and consider the use of a crate (portable cage) as a training and
transitional aid and for transport?
How you do feel about dogs on furniture?
Where do you anticipate your dog will sleep at night?
If a dog misbehaves, what form of correction do you expect to use?
Do you travel frequently? Yes No
If yes, who will take care of the dog while you are away?
Is your lifestyle such that friends, relatives and children gain admittance to your home, property and car without your
Are you willing and able to accept full and immediate responsibility for the ownership of an Italian Greyhound,
including health care costs and necessary burdens and responsibilities of owning a pet?
Have you carefully considered the financial cost of pet ownership and are you financially prepared to give your pet
the routine medical care it requires (including vaccinations, heartworm preventative, flea control, dental cleanings,
etc) as well as the possibility of accidents or illness? Yes No
IG’s can live to be older than 15 years old. Are you prepared to make a lifelong commitment to your new pet for this
extended period of time? Yes No
If, for any reason, you are unable to keep your IG, will you agree to return it to IG Rescue?
What condition(s) or circumstances (other than unexpected death) would cause you give up an adopted IG?
Are you willing to agree to always keep your IG on a leash when not in a fenced area?
IGs must live in the house. They cannot adequately be kept in an outdoor kennel or doghouse. Are you willing to
keep an IG as a pet and have it live in the house as a part of your family?
What do you plan to feed your dog? (Please be specific)
Do you feed/plan on feeding on a schedule (once or twice daily), or free feed?
Do you currently own one or more pets? Yes No
Please describe all pets by breed, sex, age, how long owned, spayed/neutered. (Use back of page if more space is
BREED AGE SEX Spayed/Neutered How long owned?
If you currently own another animal (dog, cat, bird, etc) how does this animal respond to dogs?
Are your current pets (including cats, ferrets, others) current with their vaccinations? Yes No
Is your current dog/dogs on heartworm preventive? Yes No
How many months per year do you administer the preventative?
Do your pet(s) receive regular home dental care?
Do your pet(s) receive regular professional dental care?
If you have owned pets in the past, please list them and explain what happened to them.
Were any of these current or past pets rescue animals? Yes No
If so, please list the contact information for the rescue organization or shelter you adopted from:
Have you ever found it necessary to surrender an animal to a shelter, rescue or humane organization? Yes No
If so, please describe the situation:
Has a pet ever disappeared, been killed or injured, or mistreated while in your care or the care of anyone in your
If you have never owned a pet yourself, have you lived in a household with pets? Yes No
If yes, did you have any dog care responsibilities? Yes (Explain) No
Have you ever trained one or more pets? Yes No
If yes, explain:
Have you ever bred a pet? Yes No
If yes, explain:
Of the pets that you own or have owned, what do you enjoy most about pet ownership?
What do you like least?
How would you describe your household activity level?
Usually something going on
Lots of activity
Do you frequently entertain visitors? Yes No
Adult visitor frequency:
Child visitor frequency:
Are you willing to teach your children the proper treatment and handling of a live animal, ensuring they are aware of
the potential fragility of the IG? Yes No
Please provide the names and phone numbers of at least two non-related people who can recommend you as a
proper adoptive family for a rescued pet.
City, State Zip:
City, State Zip:
Please provide contact information of your nearest living relative:
City, State Zip:
Could you accept a dog with special needs or medications, for example thyroid meds or phenobarb for seizures?
Do you have any interest in adopting an older dog? Yes No
What age dog are you wishing for and why?
Are you aware that some rescue pets have been abused and/or neglected and need extra love and attention, and
would you be willing to work with that? Yes No
Could you work patiently with a dog that needs housebreaking help? Yes No
Do you have a preference as to sex? Yes No
If so, why?
Do you have a preference as to color? Yes No
Is there a specific dog you are interested in at this time? (Name and reason for preference)
Any other preferences? Yes No
Please feel free to write down any other information you consider relevant to your application or the home to show
that you are prepared to offer a rescue dog a great forever home:
INFORMATION AND REQUIREMENTS
It is vital to keep every Italian Greyhound ON A LEASH AT ALL TIMES when outdoors and outside of a securely fenced
area designed to contain dogs. Invisible fencing, livestock fencing, and snow fencing do NOT qualify under the terms of this
adoption condition. Italian Greyhounds are sighthounds and will chase small moving objects regardless of danger, including
rabbits, birds, and squirrels. They have a top speed of 35 mph. NEVER ‘trust’ your Italian Greyhound won’t run away! By
adopting a dog from IGCA Rescue, you are agreeing to keep your Italian Greyhound ON LEASH at all times when
outside of a securely fenced area designed to contain dogs.
You must agree to keep your Italian Greyhound as a pet in your home as a part of your family. This breed should not be kept
outdoors or left outside unattended for any extended period of time.
You must agree to have your rescue dog wear an identification tag at all times. IGCA Rescue will provide all rescue dogs with
an identification tag free of charge.
You must agree to maintain necessary vaccinations recommended by your vet and be responsible for licensing your dog
according to regulations in your community.
You must contact the IGCA Rescue Representative and provide notification of any change in contact information from that
listed on this application.
You must notify the IGCA Rescue Representative if you cannot keep your rescue dog for any reason. The rescue dog
may not be given to a humane shelter, other rescue group, or individual, without the consent of IGCA Rescue.
A nonrefundable donation is requested at the time of adoption. The pricing guidelines are based on the age of the dog and the
State in which the dog is adopted. More information regarding donation amounts can be obtained from the Rescue
Representative or the Area Coordinator for your area. The IGRF Rescue fund is maintained by the IGRF Treasurer and all
donations are payable to the ‘IGRF Rescue’. The IGRF Rescue fund is comprised of donations by IGCA members, those
interested in the well being of the breed, and adoption donations.
IGCA Rescue reserves the right to refuse any adoption.
I CERTIFY THAT I HAVE READ THE ABOVE AND AGREE TO ABIDE BY THE REQUIREMENTS SET FORTH. IF I QUALIFY
AND RECEIVE AN ITALIAN GREYHOUND FROM IGCA RESCUE, I WILL ACCEPT FULL RESPONSIBILITY FOR THIS
I understand that IGCA Rescue reserves the right to repossess the rescue dog should any portion of this contract be
breached by the adopter(s) or if it is determined the rescue dog is abused or neglected in any way.
PLEASE RETURN THIS APPLICATION TO:
By Email: firstname.lastname@example.org OR
By Mail: IGCA Rescue
C/O Kristin Westbrock
1800 Orange Avenue East
St Paul, MN 55119
The ADOPTION FEE for North Dakota and Minnesota is $275.00.
Please feel free to get in touch with your Rescue Representative periodically concerning your pending application.
We are staffed entirely with volunteers, so please be both patient and persistent. Thank you for supporting IGCA
Rescue of North Dakota and Minnesota!