Adoption Application It’s a Grey Area Greyhound Adoption Inc 39311 W. Porter’s River Road Pearl River, LA 70452 (985) 710- 7522 Lesley@Itsagreyarea.com Adoption fee – tax deductible $200.00 – includes all vet work, heartworm testing, dental, muzzle and collar. Adoption fee's are non-refundable. Pet ownership is a serious responsibility. It is the policy of It’s a Grey Area Greyhound Adoption Inc to assure that each greyhound is placed in a home that has the desire to provide to that dog the loving and safe home he/she deserves. The following questionnaire has been designed to assist IAGA in determining 1. If a greyhound is the appropriate dog for your family and 2. Matching the right greyhound with your family. If there is not enough space to fully answer each question, please feel free to attach an additional sheet for your responses. Name(s)_______________________________________________Date_____________ Address _______________________________________________________________ City______________________________________________State________Zip______ Home Phone_________________________Cell________________________________ Do you rent or lease? If so, do you have the permission of your landlord to have a dog? ______________________ Landlord Name__________________________ Phone Number ___________________ E-mail address __________________________________________________________ Occupation (other) ______________________________________________________ Work Phone (_____)_____________________________________________________ Occupation (other) ______________________________________________________ Work Phone (_____)_____________________________________________________ How did you learn about us! ______________________________________________________________________ ______________________________________________________________________

Number of adults in your household and ages: ______________________________________________________________________ Number of children and ages. Please list. ______________________________________________________________________

______________________________________________________________________ What other pets do you have? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Current Veterinarian_____________________________________________________ Address _______________________________________________________________ City_________________________________________________State______Zip_____ Phone Number (_____)_____________ Please list at least two (2) references that have known you for more than two (2) years. At least one of your references should be a neighbor. Name_________________________________________________________________ Daytime Phone (____)________________ Evening Phone (____)__________________ Name_________________________________________________________________ Daytime Phone (____)_________________ Evening Phone (____)_________________ I certify that all information submitted on the above Greyhound Adoption Application is true and correct. Adopter’s Signature______________________________________________________ Date_____________________ Adopter’s Signature______________________________________________________ Date_____________________