IGCA RESCUE ADOPTION APPLICATION Name: Physical Address (including City/State/Zip): Primary Phone: Work: Mobile: Email: Occupation: Spouse/Partner Occupation: Best Time to Call: RESIDENCE Single-family dwelling Own Condominium Rent Apartment Living with Relatives For Renters: (information will be verified) Landlord Name: Pet deposit required Pet deposit paid Pets are allowed with no restrictions Pets are allowed with limits (describe): Landlord Phone: Type of fence: Height: Gate is accessible from exterior: Yes No If yard is not securely fenced, are you able to multiple times daily so dog may relieve himself? Yes No If no, explain alternative: Do you have a dog door: Yes No Will dog have access to yard when no one is home: Yes No Please check if your home has the following: Stairs Pool (fenced) Balconies Lawn/garden service Pool (unfenced) Tall decks Yard chemicals Do local ordinances or homeowner/condo association rules limit the number, size or type of pet you may own? Yes No If yes, please describe: Pet History, Past 10 Status Name Species Breed Age (Living/Surrendered/Lost/Deceased)
IGCA RESCUE ADOPTION APPLICATION Name: Physical Address (including City/State/Zip): Primary Phone: Work: Mobile: Email: Occupation: Spouse/Partner Occupation: Best Time to Call: RESIDENCE Single-family dwelling Condominium Apartment Own Rent Living with Relatives For Renters: (information will be verified) Pet deposit required Pet deposit paid Pets are allowed with no restrictions Pets are allowed with limits (describe): Landlord Name: Landlord Phone: Type of fence: Height: Gate is accessible from exterior: Yes No If yard is not securely fenced, are you able to multiple times daily so dog may relieve himself? Yes No If no, explain alternative: Do you have a dog door: Yes No Will dog have access to yard when no one is home: Yes No Please check if your home has the following: Stairs Balconies Tall decks Pool (fenced) Pool (unfenced) Lawn/garden service Yard chemicals Do local ordinances or homeowner/condo association rules limit the number, size or type of pet you may own? Yes No If yes, please describe: Pet History, Past 10 Name Species Breed Age Status (Living/Surrendered/Lost/Deceased)
Italian_Greyhound_Adoption_Application.docx