Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your occupation?
*
Are you applying for a specific dog? If so, who?
*
Number of adults in home?
*
Does everyone agree on adopting?
*
Please Select
Yes
No
How many children are in the home?
*
What are the ages of the children in the home?
*
Type of home (i.e. apartment, single family home, condo, townhome, etc)
*
Do you rent or own? (If renting, please provide lease terms regarding pets. If none, a letter from your landlord is required prior to adopting)tion
*
What is your activity level & favorite hobbies?
*
Do you have a fenced yard? If not, how do you plan to properly and regularly exercise your pet?
*
Type of fence & height:
*
Do you have any other pets? (Please include age & type)
*
Are your pets up to date on vaccines and spayed/neutered?
*
Have you owned a dog before?
*
Have you ever had to rehome/surrender a pet? If so, why?
*
Have you ever had to euthanize a pet? If so, why?
*
What would you ideally like to have your pet do while you are away or at work (i.e. crate, free roam, etc)
*
How many hours a day will your pet be alone?
*
Are there any behaviors that would make you rehome your pet? (i.e. aggression, chewing, barking, accidents, escaping, etc)
*
Are you open to training if necessary?
*
Where will your pet spend most of its time?
*
Are you financially able to provide proper vet care when needed?
*
Do you agree to keep this pet in your home and part of your family?
*
In any case your pet needs to be rehomed, do you agree to return him/her back to The Pittie Project PNW?
*
If a current or recent pet owner, what is your veterinarian name & contact number? (**By providing this information, you are giving The Pittie Project PNW permission to contact your vet. Please be sure to grant them permission to release necessary information if needed**)
Please use this space if you would like to share any other information that you feel will be beneficial in order to match you with your perfect companion.
Are you specifically interested in adopting the dog you are applying for, or are you considering multiple dogs in your search?
*
Please Select
Yes! This is the only dog we want!
Yes! (If this dog is adopted then we'd like to be matched with another dog in the program.
No, we are shopping around & considering multiple dogs in our search.
How did you hear about us?
*
I certify that I am able to adopt within the next 7 days.
*
Please Select
Yes
No (Please do not continue your application unless able to adopt within 7 days)
Have you paid the $25 adoption application fee so that we can process your application? (If not, please remember we do not process applications until that is done).
*
Please Select
Yes
No, doing so now!
Proof of Identification (Drivers License)
*
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