Michelle Verrier-Davis, D.M.D.
22 Stapleford Drive
Falmouth, ME 04105

Home Approval Application

Just complete this form. Click on Submit when ready to send. The more information you tell us
about yourself, the better we can help you to find the perfect pet for you and your family. Please
complete the entire form and answer all questions. You may not think a particular question is
important or have much relevance, but we wouldn't ask if it wasn't important...

Your Name:
Your Address:
Zip Code:
Email Address:
Re-Enter Email Address:
Home Phone Number:
Cell Phone Number:
Best Time To Call:
Personal References (other than a family member) who are familiar with your experience as a pet owner: 
Reference 1 Name:
Reference 1 Phone:
Reference 1 Email:
Reference 2 Name:
Reference 2 Phone:
Reference 2 Email:
Do you Own or Rent your home:
Do you live in a: House Apartment Condominium Mobile Home Other
Length of time at this address:
Do you have a fenced yard: Yes No
Fence Height:
Type Of Fencing:
Is The Fence Completely Enclosed: Yes No
If no, how will you potty your Italian Greyhound:
Do you have a seperate kennel or run:
Height and Size of Kennel:
Number of adults in household:
Number of children/grandchildren in house:
Age of children/grandchildren:
Does everyone agree to the purchase of an Italian Greyhound:
Do you own cats: Yes No
How many:
Are they spayed or neutered: Yes No
Other Animals:
Do you have a regular Vet: Yes No
Veterinarian Name:
Veterinarian Phone Number:
Length of time with Vet:
Number of dogs owned:
List Dogs:
Have you owned a sighthound: Yes No
Have you owned an IG: Yes No
Previous Experience:
What is the activity level of your house?
Why did you choose this breed:
Breed Issues:
Do you want to purchase: Male Female No Preference
Color Preference:
Age Preference: Teenager Adult
Would be flexible on: Color Age
Where will dog spend the day: Loose Indoors Crate Basement Garage Fenced Yard Kennel Other
Number hours dog will be alone:
Where will dog spend the night: Loose Indoors Crate Basement Garage Fenced Yard Kennel Other
Will you license the dog according to your state laws? Yes No
Will you give your dog regular health care?: Yes No
Do you agree to contact ME-Chelle IG's if you can no longer keep this dog? Yes No
Would you allow a home visit: Yes No
How did you hear about us:
I am over 18 yrs old: Yes No
Please press the "Submit" button only once. It can take up to a minute to submit this form. Thank You!

Our dogs become available around four to six months of age. Occasionally, we have older animals available as well. All animals sold as “non show prospects” are spayed or neutered prior to going into their new home. A limited AKC registration is provided for all companion animals that are not retirees. *Retirees are spayed or neutered prior to going into their new homes, and proper AKC paperwork is provided when available. We do NOT sell litter lots, nor do we “wholesale” dogs for resale. Show prospects or intact dogs are sold on a case by case basis.

We reserve the right to request and contact referrals, and/or perform a home inspection before accepting an application, or before selling a dog, if we feel it is necessary. A visit to our home is required before purchasing an adult dog or puppy. We DO NOT SHIP our dogs.