Pitdorable Adoption/Foster Application

Pitdorable Adoption/Foster Application
Contact Information
Full Name
Occupation
Address
How Long at This Address?
Daytime Phone
Evening Phone
Best Time To Call
Email Address
Date of Birth
Driver's License Number
Family and Housing
How Many adults are there in your family? What is their relation to you?
How Many Children? Ages?
What type of home do you live in? (apartment, farm, single family, etc)
Please Describe Your Household

ActiveNoisyQuietAverage
If you rent, please give the rules governing pets and the landlord's number
By providing this information you are allowing Pitdorable to contact your landlord. Please inform them to expect a call, and that they may speak with us.
Does anyone in the family have a known dog allergy?
Is everyone in agreement with the decision to adopt/foster a dog?
Do you have time to provide adequate love and attention?
Other Pets
What other pets do you have? (specify type and number)
Are all these pets up to date on vaccines?
Are these pets spayed/neutered? If not, why?
Have you surrendered a pet? If so, why?
Have you ever euthanized a pet? If so, why?
Have you ever lost a pet in an accident? Explain
How do you discipline your pets? and why?
Veterinarian
Do you have a Veterinarian ?

YesNo
If you have listed other pets, you must provilde a vetrinarian's phone number, so we can make sure they're up to date on shots.
Veterinarian's Name
Clinic Name
Clinic Phone Number
Clinic Address
By providing this information you are allowing Pitdorable to call your vet. Please call your vet and ask them to authorize the release of information to Pitdorable
About the Dog you Wish to Adopt/Foster
Name or description of desired dog.
Desired Age
Desired Size
Desired Sex

MaleFemaleNo preference
Willing to Adopt/Foster

Outgoing/hyper dogDog that needs regular medicationDog that needs groomingShy DogDog that Needs TrainingDog with special dietary needs/food allergiesnone of these
Where will the dog spend the day? Describe
Where will the dog spend the night? Describe?
Number of hours (average) dog will spend alone?
Who will have primary responsibility for the dog's daily care?
Do you agree to provide health care by a licensed Veterinarian ?

YesNo
Do you agree to keep this dog as an indoor dog?

YesNo
When the dog goes out, how do you plan to supervise it? Do you have a fenced yard?
Do you agree to contact Pitdorable if you're no longer able to keep this dog?

YesNo
Are you willing to let a representative of Pitdorable visit your home by appointment?

YesNo
How did you hear about Pitdorable?
Would you be interested in Fostering?

YesNoWould like to know more
Personal References
Personal Reference 1
Address and phone number
Personal Reference 2
Address and phone number
Personal Reference 3
Address and phone number
All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.
Electranic signiture
Date
Should be Empty: