Name Of Greyhound
Personal Details
Name*
Street*
Suburb*
State	ACT NSW NT QLD SA TAS VIC WA
Postcode*
Home Phone*
Work Phone
Mobile
E-mail
Residence Details
Type Of Residence	House Flat / Apartment Unit Other
Do you Own or Rent?	Own Rent
Are you allowed Pets?	Yes No
Do You Have A Fenced Yard?	Yes No
If Yes - Height(m)?
Other Pet Details
Do You Have Other Dogs?	Yes No
If Yes - Breed, Sex, Sterilised?	Male Female Yes No
	Male Female Yes No
Do You Have Any Cats?	Yes No
If Yes - Number, Sterilised?	Yes No
Do You Have Any Other Pets?	Yes No
If Yes - Please Specify
Other Details
Do You Have Children in the House?	Yes No
If Yes - Age(s)
Additional comments or queries

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