GREYHOUND FRIENDS of NJ ADOPTER SURVEY

ADOPTER INFORMATION

Adopter's Name 1

Cell Phone 1

Adopter 1 Work

Work Phone

Adopter's Name 2

Adopter's E-Mail 1

Street

City, State, Zip

GREYHOUND INFORMATON

Adopted from GFNJ?

Call Name (everyday name)

Registered Name (track name)

Sex

Age

Color 

GFNJ ACTIVITIES

What is the best way for you to get info on GFNJ?

How would you prefer to receive the GFNJ Newsletter?

Adopted from GFNJ?

Adopted from GFNJ?

Call Name (everyday name)

Call Name (everyday name)

Registered Name (track name)

Sex

Sex

Age

Age

Color 

Color 

Home Phone

Number of greyhounds currently in your home

Adopter's E-Mail 2

Cell Phone 2

Adopter 2 Work

Work Phone

What FUNDRAISING, EVENT or PUBLIC RELATIONS ideas do you have that might benefit GFNJ? (ie:work newsletter/matching funds)

Are you interested in participating in any of the following?  Please check all that apply

Registered Name (track name)

Comments

If your greyhound has died, please indicate their name

If your greyhound is not living in your home, where are they?

and the cause of death

If your greyhound has died, please indicate their name

If your greyhound is not living in your home, where are they?

and the cause of death

and the cause of death

If your greyhound is not living in your home, where are they?

If your greyhound is not living in your home, where are they?

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

If your greyhound is not living in your home, where are they?

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

If your greyhound is not living in your home, where are they?

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

If your greyhound is not living in your home, where are they?

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

If your greyhound is not living in your home, where are they?

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

If your greyhound is not living in your home, where are they?

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

If your greyhound is not living in your home, where are they?

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

If your greyhound is not living in your home, where are they?

Call Name (everyday name)

Registered Name (track name)

Adopted from GFNJ?

Sex

Age

Color 

If your greyhound is not living in your home, where are they?

When you click "Submit" an e-mail containing your responses will be sent to Patty at pac173@aol.com

To add more dogs, please go to the bottom of this page.

ADDITIONAL DOG INFORMATION

To add info on dogs who have passed, please go to the bottom of this form.

If you don't need to add additional information, please go to the bottom of the page and click on the "SUBMIT" button

If you need to add additional greyhounds, please Submit this form and send an e-mail to pac173@aol.com with the information.

When they passed

When they passed

When they passed

If your greyhound has died, please indicate their name

If your greyhound has died, please indicate their name

When they passed

and the cause of death

None 1234567891010+

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

YESNO

MaleFemale

Click to selectPuppy1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old15 years +

Click to selectBlackBlack BrindleBlack & WhiteBlondeBlonde BrindleBlueBlue BrindleBlue FawnBrindleDark BrindleDark RedFawnFawn BrindleLight BrindleLight Red FawnOtherRedRed BrindleRed FawnRed & WhiteSilver BrindleWhiteWhite & BlackWhite & Black TickedWhite & BrindleWhite & Brindle TickedWhite & FawnWhite & Red

Month010203040506070809101112

Year199019911992199319941995199619971998199920002001200220032004200520062007

Click to selectOld ageCancerIllness other then cancerAccidentUnknown

Month010203040506070809101112

Year199019911992199319941995199619971998199920002001200220032004200520062007

Click to selectOld ageCancerIllness other then cancerAccidentUnknown

Month010203040506070809101112

Year199019911992199319941995199619971998199920002001200220032004200520062007

Click to selectOld ageCancerIllness other then cancerAccidentUnknown

Month010203040506070809101112

Year199019911992199319941995199619971998199920002001200220032004200520062007

Click to selectOld ageCancerIllness other then cancerAccidentUnknown

local Meet N Greet

volunteer to help at picnics

help with fundraising

become a greyhound foster home/parent

volunteer at the kennel

transport dogs to medical appts

volunteer to help at craft show

volunteer at the prison program

Click to selectLooking at the GFNJ websiteReceiving e-mailsNewsletterIn my local newspaper Other

Click to selectPaper, sent in the mailAs an e-mail attachmentOn-line at the GFNJ websiteI don't want the newsletter   

Please add to me to the GFNJ e-mail list (this list keeps Adopters informed of upcoming events, important updates, emergency situations, etc)