Your Name *
Email Address *
Contact Number *
Secondary Number
Occupation *
How many hours per week do you work?
How many hours will the dog be home alone each day? *
Where will the dog have access to when you are home? * InsideOutsideBoth
Where will the dog have access to when you are at work or not at home? * InsideOutsideBoth
Address Line 1 *
Address Line 2
Type of accommodation ApartmentTownhouseHouseAcreage
Do you own or rent your property? * OwnRent
If you rent, do you have landlord and body corporate approval? * YesNo
Do you have stairs? * YesNo
Fence height and type *
Please provide photos of front, back and side fences: Max file size: 16M. Allowed types: JPG, PNG, BMP, GIF, PDF Front: Back: Sides:
Height and type of access gates *
Please provide photos of any access gates: Max file size: 16M. Allowed types: JPG, PNG, BMP, GIF, PDF
Do you have an undercover area for the dog? * YesNo
If yes, please provide photos of undercover area: Max file size: 16M. Allowed types: JPG, PNG, BMP, GIF, PDF
Do you have a pool? * YesNo
Is your pool area fenced? * YesNo
Pool type * In-groundAbove-ground
How many adults live at the address? *
Are there children living there with you? * YesNo
Child 1 age:
Child 2 age:
Child 3 age:
How would you describe your household? (e.g. busy, quiet, chaotic) *
Do other children visit you on a regular basis? * YesNo
If yes, what are the ages of the visiting children?
Do you currently have other dogs? * YesNo
Number of dogs
Breeds
What activities would you do with your dog(s)?
Please describe your dog(s)
Number of cats
Are the cats indoor or outdoor cats? * IndoorOutdoorMixedN/A
Please describe your cats
Poultry
Livestock
Any other animals? *
Do you socialise with other pets? * YesNo
Please describe your activities *
What are you reasons for adopting a greyhound? *
Where did you hear about the GAP? Web searchGAP eventFamilyFriendsOther
Do you have any other information that you would like to share with us?