Adoption Application |

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Email Address *

Primary Phone Number *

Alternate Phone number

Marital/Civil Status

Married/Domestic Partner

Single

Divorced

Widowed

Name of Spouse or Partner

Ages of Adults in Household

Number of Adults in Household

Number of Children in Household

Ages of Children in Household

Name and address of closest relative not living with you

Reference 1 Name

Reference 1 Phone Number

Reference 2 Name

Reference 2 Phone Number

Reference 3 Name

Reference 3 Phone Number

Veterinarian's Name

Veterinarian's Phone Number

Are all members of household in agreement on adopting a Whippet?

Yes

No

If No, please give details

Type of home

Do you own or rent?

Own

Rent

If you rent please provide your landlord's name, address, and phone number

Does your rental agreement allow pets?

Yes

No

Do you have a fenced yard?

Yes

No

What is the height of the fence?

4 ft

5 ft

6 ft

8 ft

If you have other pets please list them here:

Pet 1 Name

Breed or Species

Spayed or Neutered?

Yes

No

Pet's Age

Pet 2 Name

Breed or Species

Spayed or Neutered?

Yes

No

Pet's Age

Pet 3 Name

Breed or Species

Spayed or Neutered?

Yes

No

Pet's Age

Pet 4 Name

Breed or Species

Spayed or Neutered?

Yes

No

Pet's Age

If you currently have a dog, have you ever introduced it to another dog?

Yes

No

If yes, how did it react to the other animal?

Have you ever owned

Whippet

Other sighthound

If you've owned another sighthound breed, which one(s)?

Where will your Whippet be most of the time?

Crate

Doggie Daycare

Loose in the house, no outside access

Loose in the yard/kennel

Loose in the house with dog door

Other, please give details:Other, please give details:

How many hours per day will your Whippet be alone without a human present?

How will you manage your Whippet when you're away from home?

Where will your Whippet sleep?

How do you plan to exercise your Whippet?

Do you object to a personal interview and visit to your home by a WRAP volunteer?

No

Yes

Please select a convenient time to schedule a visit

Activities your Whippet should enjoy

Your Whippet must be able to get along with (check all that apply)

I would like to adopt a Whippet in the age range

Puppy (Puppies are rarely available)

Adult, age 2-8 years

Senior, age 8+ years

I prefer a Whippet that is

Male

Female

A certain color:A certain color:

Please add additional information you'd like to share

If you are interested in a specific available Whippet please give name of dog and state where fostered

I certify that all of the information above is to the best of my knowledge and belief true, correct and complete. *

Yes