Whippet Rescue & Placement
New Owner Application

Click reply, fill in the application, and email it back.
This is only a preliminary step. No rescue dogs are
released by WRAP until a signed application is on file.

Date:

Name:

Address:

City, State, ZIP:

E-mail address:

Day Phone:

Evening Phone

-- Married
-- Single
-- Divorced
-- Widowed

Spouse's or Significant Other's Name

Number of adults in household?
Ages of adults?

Number of children in household?
Ages of children?

Type of dwelling?
-- House
-- Apartment
-- Townhouse
-- Duplex
-- Other

Do you have a fenced yard?
-- No
-- Yes
-- -- Small
-- -- Medium
-- -- Large
How tall is the fence?

Do you
-- Own?
-- Rent?

If you rent, does your rental agreement allow pets?
-- Yes
-- No

If you rent, may we call to verify that pets are allowed? If so,
please list your landlord's name, address, and phone number.

Name and address of nearest relative not living with you:

Are all members of your household in agreement
with the adoption? (Please comment)

Please list all animals living with you (include small
caged animals as well as livestock):
Pet's Name
Type/Breed
Age
Spayed/ Neutered?
How long owned?
(Please complete above for each pet owned)

If you have a dog in your residence now, have you ever
introduced it to a new dog at your residence?
-- No
-- Yes
-- -- How did your dog react?

Have you ever owned a Whippet or other sighthound before?
-- Yes
-- No

If yes, what breed?
-- Still have
-- Died
-- Other

Please explain if you checked "other" or tell us how the dog died.

Who is your regular veterinarian?
-- Clinic
-- Doctor
-- Address
-- Phone

What do you want your Whippet to be? Check as many as apply:

-- Housepet
-- Breeder
-- Racer
-- Obedience
-- Watchdog
-- Lure Courser
-- Show Dog
-- Field Courser

What will your Whippet need to get along with?
-- Other Dogs
-- Cats
-- Birds
-- Small Rodents
-- Livestock
-- Children
-- Men
-- Women
-- Other (Please comment)

What type Whippet do you prefer?
(Please note that young puppies are seldom available)

-- Senior (8-12 years)
-- Adult (2-8 years)
-- Older Puppy (6-24 months)
-- Young puppy (3-6 months)

-- Male
-- Female

-- A certain color:

Where will your Whippet be most of the time?
-- Inside the house
-- Outside in the yard
-- Outside in kennel

How many hours of the day will the dog be alone?

How will you contain the dog during your absences
from home?
-- Crate
-- Kennel
-- Loose in house
-- Loose in house with dog door access
-- Outside in the yard
-- Other (please explain)

Where will the dog sleep?

How do you plan to exercise your Whippet?

What specifically attracted you to the Whippet breed?

Do you object to a volunteer visiting your home
and a personal interview?
-- No
-- Yes

Please list times most convenient.

Please list names and phone numbers of three (3)
personal references:



FInally, include any additional pertinent information
to enable a better fit between dog and owner.

Thank you,
Whippet Rescue and Placement (WRAP)