Please note that this form CANNOT be submitted electronically.

If you are interested in submitting an application, you may print it out, then mail it to:
IGCA Rescue,
1924 South Hartford Ave.
Indianapolis, IN 46231

RESCUE COMMITTEE

ADOPTION APPLICATION __________________________Date:___________________________

Name: __________________________________________________Phone: ( ____) _______________

Address: ___________________________________________________________________________

City: ____________________________________________ State: ___________ Zip: ______________

E-mail Address: ______________________________________________________________________

Your Veterinarian's Name and Telephone Number_____________________________________________

**********************************

1. Why do you want to adopt an Italian Greyhound? ______________________________________________

2. Are you familiar with this breed? __________________________________________________________

3. Have you had this breed before? ___________________________________________________________

4. What happened to the dog? ______________________________________________________________

5. How or where have you learned about this breed? ______________________________________________

6. Do you have children? _______ What are their ages and interests? ________________________________

______________________________________________________________________________________

7. Will the children be expected to care for the dog? ______________________________________________

In what capacity? ______________________________________________________________________

8. How many dogs have you owned in the past 10 years? __________________________________________

What happened to them? ________________________________________________________________

9. Do you currently have any other pets? If yes, what are they and their ages? ___________________________

______________________________________________________________________________________

10. If you rent or lease, do you have written permission from your landlord to have a dog? _________________

11. Where will your dog stay during the day? _____________________ At night? _____________________

12. How many hours will the dog stay alone? ___________________________________________________

Please list the number of people in the household and the hours they are home? ______________________

______________________________________________________________________________________

13. Do you have a preference regarding age and/or sex of dog? ______________________________________

If yes, please explain your reasons. _______________________________________________________

14. Do you have a completely fenced yard? _______ If not, are you willing and able to take the dog outside
several times a day to relieve itself? _______________________________________________________

15. If your dog makes a mistake, what type of correction will you make? ______________________________

______________________________________________________________________________________

16. Are you aware that the IGCA requests a donation payable to the "IGCA Rescue Fund" for each adoption? _________ Are you willing to make such a donation? ____________________________________________

You will be contacted when a dog becomes available.

PLEASE READ AND SIGN PAGE 2 OF THIS APPLICATION

RESCUE COMMITTEE

INFORMATION AND REQUIREMENTS

1. It is vital to keep your Italian Greyhound on a leash whenever it is outdoors, unless it is in a fenced area. Never "trust" that your Italian Greyhound will not run away.

2. You must agree to keep your Italian Greyhound as a pet, live in the house as a part of your family.

3. You must agree to maintain the necessary vaccinations (DHLPP, Rabies, etc.) and you will be responsible for licensing the dog as required within your community.

4. Should you ever decide you cannot keep or do not want the Italian Greyhound you obtained from the IGCA Rescue, you MUST notify the IGCA Rescue Representative prior to taking any action. You may not give your dog to anyone else without the consent of IGCA Rescue and you must agree never to take it to a "pound" or other humane shelter.

5. The IGCA Rescue Fund is comprised of donations by members of the IGCA, those interested in the well-being of the breed and by adoption donations. The Rescue Fund is maintained by the Treasurer of the IGCA and all donations must be payable to the "IGCA Rescue Fund". A donation (suggested donation $200.00) for adopting will be requested and is non-refundable.

I CERTIFY THAT I HAVE READ AND WILL AGREE TO ABIDE BY THE REQUIREMENT SET FORTH. IF I QUALIFY AND RECEIVE AN ITALIAN GREYHOUND FROM IGCA RESCUE, I WILL ACCEPT FULL RESPONSIBILITY FOR THIS ITALIAN GREYHOUND.

Signature: _______________________________________ Date: __________________

Signature: _______________________________________ Date: __________________



Please return this application to: IGCA Rescue, 1924 South Hartford Ave. Indianapolis, IN 46231