CPBF Adoption Application

Carolina Pit Bull Farm Adoption Application

CPBF encourages adoptions that are in the best interest of both the animal and potential adopter. We do not adopt animals on a first come first serve basis. All applications will be screened to determine the most suitable match for both you and the animal.
Applicant Information
Name of the dog you are interested in:*
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:
Employer:
Character reference #1 and phone number:
Character reference #2 and phone number:
Character reference #3 and phone number:
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Does your landlord allow dogs?

YesNo
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Where are these animals now?
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a dog can be an 18 year commitment, and can cost $300+ per year to care for?*

YesNo
What causes Heartworm in dogs?
Are you committed to giving your new pet heartworm prevention every month?
Are you willing to take an obedience class with your dog?*

YesNoNot sure
What circumstances would lead you to give up your new dog?*
Will you permit a home visit?
Should the adoption be finalized, as the new owner, you agree to take full responsibility for the care and well-being of this pet for its lifetime. If adopting a puppy, the agreement will be foster-to-adopt with the adoption only finalizing once the animal is sterilized (paid for by CPBF) all adult dogs will be sterilized prior to placement.

Once the adoption is finalized, you will be responsible for all medical bills and decisions. If some situation occurs that makes it impossible for you to care for the animal, you will return it to CPBF immediately.

I have read, understand and agree to abide by the above-mentioned policies.
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Carolina Pit Bull Farm Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information