Your Name (required)

Your Email (required)

Phone Number

Number of people living in your home

Ages of each person (including yourself)

Do you have a fenced yard?

Do any other animals live in the home? If so, list them here

Have you ever owned a sighthound? If so, what breed?

Please list 3 references & their phone number. One of them must be your vet.

Please include any additional infomation you feel is important.

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