Adoption Application

Preble County Pittie Committee

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*

MonthDayYear
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*
Do you live in a:*
Do you:*

OwnRentLive with ParentsOther
If renting: please indicate landlord contact information. This is just to ensure that pit-bull type dogs are permitted.*
Household Setting*

RuralSuburbanUrban
Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests
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?*

MaleFemaleNo Preference
Are you willing to adopt a dog of any age?*

YesNo
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?*

Family PetAdventure buddyGuard dogOutdoor dog
We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?*

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

YesNo
Do you have a fenced yard?*

YesNoPartialInvisible
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*
Should be Empty:

Preble County Pittie Committee