Adoption Application

Before filling out an application please make sure you have read our complete adoption process and regulations. Please answer each question with as much detail as possible. The more info we have, the better!(*NA= Not Applicable)

* Indicates required field

Please name what dog you are interested in and why? *

Name *

First

Last

Date of Birth *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Occupation *

Living Arrangements

If you rent, we need written and verbal confirmation that your landlord will allow you to have a Pit Bull.

Do you rent or own? *

If you are renting, please provide Landlord's name and phone number for verification: (if not renting put NA) *

If you own please list name on the deed, year purchased and name of home owners insurance.(if you do not own put NA) *

IMPORTANT: Many homeowner's insurance companies have breed blacklists which include, but are not limited to, pit bulls, American Pit Bull Terriers, American Staffordshire Terriers, Staffordshire Bull Terriers, Rottweilers, Dobermans, Akitas, American Bulldogs, Chows and wolf-hybrids and will not insure you if they reside in your home or may cancel your insurance if you add a dog of these breeds to your home. Please check your homeowner's insurance policy regarding breed discrimination BEFORE adopting a pit bull type dog. Landlords may also have these same breed restrictions due to their insurance policies.

How long have you lived at this address? If less than 1 year, please also list prior address. *

How many adults (21 and older) are in your household? and their relation to you? Please list thier full names and date of birth. *

How many individuals under 21 live in your household? Please list ages. Including "part time" kids ie grandkids that visit, if you babysit etc. *

What level of supervision will the children have when with the dog? (N/A if no children) *

Is your yard fenced? What type of fence? *

Please describe how you will exercise the dog? *

Does any member of the family have any allergies to animals? *

When home alone dog will be where and for how long? *

Animal Information

Please specify breeds, ages, and sex of your current dogs: (if you have none please put that.) *

Are your current dogs spayed or neutered? *

Are ALL Dogs in Your Household Current on ALL recommended and/or Required Vaccinations? *

If you have current dogs are they on Heart Worm preventative and if so what kind? *

Are you aware that your adopted dog should never be left alone with another dog when not supervised? *

Are Your Pets on a Flea/Tick Preventative? *

How Does Your Current Dog(s) React to other Dogs? (Friendly, Submissive, Growl, etc.)? *

Do you know have knowledge of dog nutrition? If you have dogs currently what do they eat? What do you plan to feed the adopted dog? *

What other kind of animals do you own? (Cats, rabbits, ferrets, birds, any other pets, are they kept in cages or loose?) *

If you had other dogs in the past, please let us know their current disposition: (rehomed, passed away, ran away, etc) *

Training

What Type of Dog Training Experience do you Have? (How have you trained past dogs, have you taken any professional classes etc) *

Are you Aware that your Adopted Dog may Chew, Dig, Bark, Jump, or Display other Undesirable Behavior while in your Care? *

Yes No

Is your Current Dog Obedience Trained? If so through where? *

Yes No I do not have another dog

Are you Willing to Take your Adopted Dog to an Approved Obedience Class? *

Yes No

What type of collar do you plan to use on the dog? (Flat buckle, martingale, harness, choke, prong, etc) *

List the types of behavior problems you consider NOT acceptable: *

What will you do if the dog gets into trouble by ruining something you value? *

If a behavioral problem arises, what steps will you take to work on it? *

Should a Disagreement or Fight Occur Between your Dog(s) and an Adopted Dog, How would you Handle the Situation? What Actions would you Take to Avoid this Situation? Please be as Detailed as Possible in your Response *

What would you do if you could not keep the animal? Please be specific: *

Describe the kinds of personal situations where you might have to return your adopted dog, i.e., job loss, children, move, marital change, etc. *

Experience: Please relate any prior experience you have had with this breed: *

References: Please supply the following information for your current veterinarian, your employer, and someone who is not related to you that can attest for your character.

Name for your current veterinarian *

First

Last

Phone Number for your current veterinarian *

Name of your employer *

First

Last

Phone Number of your employer *

Name of omeone who is not related to you that can attest for your character. *

First

Last

Phone Number of someone who is not related to you that can attest for your character. *

Of all the breeds available why do you want a Pit Bull ? *

Have you considered the extra expenses that will come with having a dog including vet care, food, supplies and equipment, toys, training and boarding? Please explain: *

Have you ever had an application declined for adoption of an animal from an animal welfare group/animal control facility? *

How did you hear about us? *

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