Adoption Application

Please ensure that everyone in the home is fully committed to adopting a dog, prior to filling out our application. If you are not 100% sure you are ready to adopt the dog you are applying for, do not proceed. We are a volunteer-run organization and it takes time to process applications. Applicants who disengage at any point of the application process will be preemptively denied from adopting from our organization.

Your full legal name

First NameLast Name

Your age - applicants must be 21+

Your Date of Birth

Date

Your e-mail address - please make sure this is an active address, if we can't reach you via email you will not know if your application is approved

example@example.com

Your residential address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Cellular

Format: (000) 000-0000.

Do you live in a:

Do you:

If renting: please indicate landlord contact information. This is just to ensure that pit-bull type dogs are permitted.

Household Setting

Describe your Homes Activity Level

Please list all people living in the household. Include name, relationship, and age.

List any pets, current or deceased, you have owned in the last 5 years. Please include name, breed, age, if they are spayed/neutered & vaccine status.

Do you have a gender preference you would like to adopt?

Are you willing to adopt a dog of any age?

If not, what age would you consider?

Please describe your ideal dog- personality traits, energy level etc

Which dog(s) are you applying for?

For what purpose are you looking to adopt?

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

Are you willing to use a crate for a dog if recommended?

Do you have a fenced yard?

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

Occupation

Employer

How many hours per day would the dog be left alone?

Your veterinarian's name

First NameLast Name

Your veterinarian's clinic address

Street Address

Street Address Line 2

CityState / Province

Zip CodeCountry

Your veterinarian's phone number

Format: (000) 000-0000.

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Preble County Pittie Committee