| Name of Dog: |
|
| Name: |
|
| Birthdate M/D/Y: |
|
| Address: |
|
| City/State/Zip: |
|
| Phone: |
|
| E-mail: |
|
| Name and ages of anyone else living in household other than yourself: |
|
Type of Home- condo, apartment, house, townhouse
|
|
| How long have you lived there: |
|
| Do you own or rent |
|
| Name and number of landlord or association if applicable: |
|
| Home owners/renters insurance company, please include name and telephone number: |
|
| Employer: |
|
| Work Number: |
|
| Do you have a fenced yard? If yes, how tall and what type: |
|
| If no, how will the dog go outside: |
|
| How do you plan on exercising your dog and how often: |
|
| Do you plan on attending obedience class: |
|
| Will the dog live inside or outside: |
|
| Where will the dog sleep: |
|
| Please explain the typical day in the life of your future dog: |
|
| How many hours a day will the dog be left alone & where will they stay when you are gone: |
|
| Please list any other pets in home including their sex, breed, & age: |
|
| Are they spayed/neutered: |
|
| Are they up to date on vaccines (DHPP and Rabies): |
|
Have they been to obedience class? If yes, where and do they have their CGC, TDI, etc:
|
|
| What kind of research have you done on the Pit Bull breed?: |
|
| Why are you interested in adopting a Pit Bull?: |
|
| Previous animals, what happened to them: |
|
| Would you return the dog? If yes, why: |
|
| Reference (name, number, relationship): |
|
| Reference (name, number, relationship): |
|
| Vet (name and number): |
|
| How did you find us: |
|
| Signature: |
|
| |