Adoption Application

  • Adoption Application

    NorthEast Pit Rescue and Sanctuary, Inc.


  • INTRODUCTION AND APPLICANT ACKNOWLEDGMENT

    Adopting a rescue dog is a lifelong commitment and a serious responsibility. Our dogs come from a variety of backgrounds, including shelters, abandonment, neglect situations, owner surrenders, and other unknown or difficult circumstances. In many cases, we cannot fully verify their genetic history, behavioral history, or prior treatment.

    Because of this, every rescue dog requires patience, leadership, structure, training, and decompression time in their new home. We strongly encourage adopters to understand and follow the 3-3-3 decompression guideline, which recognizes that dogs need time to adjust, build trust, and feel safe in their new environment.

    While we conduct behavioral evaluations and disclose all known information, rescue dogs may display behaviors that were not previously observed. Adoption requires a full commitment to proper training, supervision, veterinary care, and lifelong ownership.

    This application is designed to ensure each dog is placed in a safe, stable, and permanent home.

    All questions must be answered completely and honestly.

    • If a question does not apply, enter “N/A”
    • If a question is left unanswered, you must provide an explanation
    • Incomplete applications may be automatically denied

    Providing false, misleading, or incomplete information may result in denial of adoption or reclamation of the dog.

    By submitting this application, you certify that all information is accurate and truthful.

  • REQUIRED APPLICANT AGREEMENT

  • Agreement Statement:

    “I understand that rescue dogs require decompression time, patience, structure, and lifelong commitment. I acknowledge that NorthEast Pit Rescue and Sanctuary, Inc. cannot guarantee a dog’s full history, temperament, or behavior. I agree to answer all questions completely and honestly, and to enter ‘N/A’ where applicable. I accept full financial, physical, and emotional responsibility for the lifelong care, safety, and well-being of the dog.”

  • Please select one:*

  • PRIMARY APPLICANT INFORMATION

    SECTION 1
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Employment Status*

  • SECONDARY APPLICANT INFORMATION (IF APPLICABLE)

    SECTION 2

  • HOUSEHOLD INFORMATION

    SECTION 3

  • HOUSING INFORMATION

    SECTION 4
  • Do you*
  • Format: (000) 000-0000.
  • Does landlord allow dogs?
  • Does landlord allow pit bull / bully breeds?
  • Have you discussed adoption with landlord?
  • Type of Home*

  • YARD INFORMATION

    SECTION 5
  • Do you have a yard?*
  • Is yard fully fenced?*

  • CURRENT PET INFORMATION

    SECTION 6
  • Have you owned dogs before?*

  • PREVIOUS PET HISTORY

    SECTION 7
  • Have you ever had a pet that was: Lost / Stolen / Hit by vehicle / Rehomed / Surrendered?*

  • VETERINARIAN INFORMATION

    SECTION 8
  • Format: (000) 000-0000.
  • Are pets current on vaccinations?*
  • Are pets on heartworm / flea / tick prevention?*

  • ADOPTION PREFERENCES

    SECTION 9
  • Preferred Sex
  • Preferred age:

  • DAILY CARE PLAN

    SECTION 10
  • Where will dog stay during day?*
  • Where will dog sleep at night?*

  • INTENT

    SECTION 11
  • Reason for adoption*

  • TRAINING AND RESPONSIBILITY

    SECTION 12
  • Are you willing to work through behavioral issues?*
  • Are you willing to seek training if needed?*
  • Have you heard of the 3-3-3 rule?*

  • IDEAL DOG DESCRIPTION

    SECTION 13

  • ADOPTION AGREEMENT

    SECTION 14
  • Please acknowledge: I agree to:*

  • OBEDIENCE AND HOME VISIT AGREEMENT

    SECTION 15
  • Enroll in obedience training if required?*
  • Allow home visit?*

  • REFERENCES

    SECTION 16
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • ADDITIONAL COMMENTS

    SECTION 17

  • LEGAL CERTIFICATION

    SECTION 18

  • By submitting this form, you certify:

    • Information is accurate
    • You agree to lifelong ownership responsibility
    • You agree rescue retains right to deny adoption
    • You agree dog must be returned if placement fails

  • VERIFICATION

    SECTION 19
  • Should be Empty: