Adoption/Foster Form

Adopt or Foster a Pit Bull
Please select whether you are applying for adoption or to foster. This form is non-binding and completing it is a requirement to schedule a meet and greet with any of our available dogs for potential adoption. Additionally if you would like to foster, complete this form. You must fill in all required fields (marked with *) to Submit.
*I am filling this application out for - *
If adopting, please indicate the dog or dogs you are interested in:*
First and Last Name:*
D.O.B.*
Street Address*
Address Line 2
City:*
State:*
Postal/Zip Code:*
Primary Phone Number*

Area CodePhone Number
Primary Phone Type*

CellHomeWork
Secondary Phone Number

Area CodePhone Number
Secondary Phone Type

CellHomeWork
Email Address:*
List all pets currently living in your home, with name, age, breed, owned how long, spayed/neutered or not fixed, up to date on vaccines*
Please contact your vet to give permission for us to talk to them
List of animals in your home within the last 5 years that are no longer with you*
Veterinarian:*
Veterinarian Phone Number*

Area CodePhone Number
How long have you used this vet?*
Records are under this name*
List of children living in my home (names and ages)*
List of other adults living in my home (name, relationship, and date of birth)*
Adoption Preferences - Please check all boxes that describe what you may be looking for in your pet.

MaleFemalePuppy 2m-6mPuppy 6m-1yYoung Adult 1y-3yAdult 3y-7ySenior 6y+Healthy No Medical IssuesMinor Medical Issues OkMust be potty trainedI can potty train my own petMust be good with dogsMust be good with kidsMust be good with catsMust be low sheddingI would be interested in adopting a bonded pair of dogsI am interested in a dog that is laid back and not very activeI am interested in a very active dog that would want to jog with meI am interested in a dog that would like to play actively but then would be laid backI am interested in taking my adopted dog to obedience classesI am interested in agility and would like a dog that would excel in agility
Where my pet will sleep at night*
Where my pet will stay when I am home during the day*
Where my pet will stay when I am not home during the day*
Employment: I am currently ...*
If not employed, how will you provide vet care and general expenses for your new pet?*
Employer Information
Employer Name*
Employer Information
Street Address*
Address Line 2
City*
State*
Postal/Zip Code*
Employer Phone*
Residence Information
Length of time at current address*
I currently reside in a place I ...*
Landlord's Name*
Landlord's Phone*
Landlord's Email*
Type of Fence*
Reference #1 (Name, years known, phone # and relationship to self)*
Reference #2 (Name, years known, phone # and relationship to self)*
Reference #3 (Name, years known, phone # and relationship to self)*
Please list any attributes you do not want in your pet*
Please list any attributes you would like to have in your pet*
Please upload any documents you may want to send such as vet records or lease agreements to speed up your approval

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