REGAP Adoption Application

Below is the application which is required for adopting from REGAP of Illinois.  After completion you will receive a confirmation email with a pdf attached copy of your application.  If you do not receive the email please contact us.

REGAP of Illinois Adoption Application

Home Phone:*
Mobile Phone:
Spouse/Significant other Name:
Spouse/Significant Other Phone:
Work Address:
How did you hear about REGAP?
Why do you want to adopt a greyhound?
Have you any preference as to Age, Sex, or Color? What would you prefer?
What other pets do you have now?
If you have cats, please specify indoor or outdoor:
What pets have you had in the past?
Is there someone home during the day? If not, when?
List the names and ages of all people in your home, including yourself:
What type of area do you live in?
What type of dwelling?
Do you own your home?
If renting, does your landlord allow pets?
Landlord Name:
Landlord Address:
Are there any stairs where your greyhound would live? If yes, please describe them.
Do you have a fenced area where your greyhound can safely be let out without having to be led to it? If yes, please describe the size of the fenced area and the type of fencing:
Do you agree to always keep your greyhound on a leash or within an enclosed fenced area?
Do you intend for your greyhound to live in the home with you?
Are you willing to take your greyhound outside four to six times daily to relieve himself?
Do you agree to keep your greyhound on heartworm preventive?
Do you agree to keep your greyhound exclusively as a house dog and never to use it for commercial racing, scientific or laboratory research, or as anything other than a family pet?
Do you agree to keep a collar bearing identification on your greyhound at all times and notify REGAP at once if your greyhound should ever get loose?
Do you agree to notify REGAP if you cannot keep your greyhound and to never give your greyhound to a pound, shelter, or any other person or group without written permission from REGAP?
Do you agree to promptly answer a yearly questionnaire on how your greyhound is doing?
Please supply the name and phone number of any references you wish to give:
Please list the name, address and phone number of all your veterinarians:
Please list any additional remarks or clarifications you wish to add:
  1. I understand that submission of this application does not guarantee its acceptance by REGAP and that I must make two trips to the REGAP kennel in Mendota, IL; the first - to complete the interview process with all human and canine members of the household and to choose a greyhound, and the second - to actually pick up the greyhound.
  2. I understand that the fee for adopting a pet greyhound is $275.00, and that this fee includes spay/neuter, rabies/DA2PP vaccinations, tick panel, worming, heartworm test, dental cleaning, grooming, and a $10 AVID microchip activation fee.
  3. By clicking the "Submit" button, I certify that the above information is true and complete, and grant permission to REGAP of Illinois to contact and verify the references provided.
Word Verification: