Adoption Application
Name
Address
Phone Number
Age
Occupation
Where did you learn about us?
Why do you want a pit bull as a pet?
Please specify your preference of age, sex, or color.
What other pets do you have?
Number of adults in your household and age.
Number of children and their ages.
Do you have a fenced in yard?
yes
no
Approximately how many hours a day will your pit bull be home alone?
Describe the area in which you live.
City
Rural
Suburban
Do you live in a:
House
Apartment
Condo/ Townhouse
Mobile Home
If you rent or lease, do you have permission from your landlord to have a dog?
yes
no
Landlord's name and phone number
Who will be responsible for the care and training of the dog?
Are you willing to and able to leash-walk your pit bull for necessary functions at least three times
yes
no
Are you aware of the importance of keeping your pit bull on a leash?
yes
no
Do you agree to keep your new pet inside your house?
yes
no
Are you willing to keep a collar with a tag with the dogs contact information at all times?
yes
no
If for any reason, you are unable to keep your pit bull, will you agree to return it to this adoptio
yes
no
Are you willing to accept immediate and full responsibility for the owner-ship of your pit bull, inc
yes
no
Did you have other pets in your home previously?
yes
no
Please name breed and years and where the dog is now.
Will you keep your pit bull as a pet and agree not to fight or use the dog as bait?
yes
no
Veterinarian's Name:
Address
Phone Number
Please list 3 references
3 references continued