Application for Adoption: Daddie

Application for the adoption of DADDIE

Please be advised that Daddie is a neutered male American Pit Bull Terrier- he may not be used for breeding purposes. Daddie will not be adopted for fighting or other illegal purposes. You must be at least 18 years of age to adopt Daddie.

An adoption application, references, home checks (both announced and unannounced), and contract are required for adoption. Fees may apply. This is to ensure that he will be placed in a home that is suitable for his breed requirements, temperament, personality, and individual needs, and to be sure that potential adoptive families are serious about adopting. This also ensures that you have the best interest of the dog at heart, and the dog will be adopted as a permanent member of the family. Daddie is a companion/family dog, and he has had a hard life until now; homes will be considered that intend to provide an indoor life as a member of the family. Please do not contact regarding Daddie if you cannot or are not willing to provide him with an indoor home. If you are interested in adopting, please fill out and submit the application below.

E-mail Address: *
First Name *
Last Name *
Street Address *
City *
State *
Zip *
Contact Phone # *
Alternate Phone #
Do you live in a rental home/apartment, or in an area which enforces breed specific restrictions? *	Yes No
If yes, please describe the nature of these restrictions
How old are you? *
Your Spouse (if applicable
Employers name/number: *
How long have you been employed with this company? *
Spouse/partners full name:
Spouse/partners employer name/number:
How long has your spouse/partner been employed with this company?
One of the conditions of adoption is that home checks must be conducted: Are you willing to allow a representative to visit your home? *	Yes No
Do you have a securely fenced yard *	Yes No
Yard size is: *	Small Medium Large Acreage No Yard
Do you live in an: *	apartment rental home owned home condo town home mobile home
Is the home in an: *	Urban Suburban Rural setting?
If you are renting, do you have the landlords permission to own a Pit Bull?	Yes No
Please provide landlords name and phone number:
Do you live with: *	Spouse/Partner Roommates* Parents Alone
If living with roommates, how many?
Who will be primarily responsible for the financial expenses and daily care of the dog? *
Does every individual in your home agree to adopting a Pit Bull? *	Yes No
Do any individuals in your home have allergies to animals/dogs? *	Yes No
How often have you moved within the past 5 years? *
How many adults OVER 21 are in your household? *
How many individuals UNDER 21 are in your household? *
Do any children (under 18) live in or visit the household? *	Yes No
What ages are the children?
Is this your first time owning a Pit Bull? *	Yes No
Have you ever been convicted of animal cruelty, dog fighting, or other crime related to animals? *	Yes No
If yes, please explain:
Have you ever had an animal impounded by animal control due to an eviction? *	Yes No
Have any of your pets (not strays) been picked up by/taken to animal control? *	Yes No
If yes, why?
Was the animal reclaimed? *	Yes No N/A
If not, why?
Dogs living situation (check all that apply) *	Dog will be a house pet, living inside with the family Dog will live in basement or garage Dog will live in garage Dog will live outdoors/doghouse provided Dog will live both indoors/outdoors Dog will be a guard dog
Have you ever had an outdoor only pet? *	Yes No
If yes, describe the living conditions:
How many hours a day will your dog be home alone? *
When home alone, the dog will be (check all that apply) *	In a crate, indoors In an outdoor kennel, with shelter Tied up outside, with shelter Dog will be loose (inside) Dog will be loose (outdoors)
How will you exercise the dog? (check all that apply) *	Leash walks every day Will have cable or dog run in the yard Will be free to run in fenced yard Will have supervised access to unfenced yard Will be free to roam (off leash in an unfenced area) Will bring to park- dog will be leashed and interaction with other dogs will be limited. Will bring to dog park- public area where dogs can run and play together off-leash
Where will your dog be when you/your family goes on vacation? (check all that apply) *	Dog will go with you/family on vacations Dog will be boarded at a vet clinic/boarding facility Dog will stay with friend/family member
What reasons would cause you to consider returning Daddie, or would cause you to no longer be committed to him? (check all that apply)	Job change (increased work hours, longer commute time, change of schedule, loss of job/income), career change, or decision to attend/return to college Living situation changes (move to new home, move in with spouse/partner, obtain roommates) You move to an area/home which does not allow Pit Bulls Someone in household develops allergies to animals/dogs You decide to get married, separated, divorced, or decide to have a baby Dog escapes from yard Dog chews on furniture, house, etc- or is destructive when not supervised Dog has housebreaking/crate training problems Dog has behavioral problems, such as separation anxiety, etc Dog does not get along with your current dog, cat, or other pets Proper vet care is too expensive Dog develops health conditions in the future
Do you have other dogs? (check all that apply) *	No other dogs One or more spayed female One or more neutered male One or more UN spayed female One or more UN neutered male
Please specify breeds and ages of other dogs:
If you had other dogs in the past, please let me know thier current disposition:	Still have the dog Died of old age (or fatal disease) Gave or sold to friends, relatives, or acquaintance Was hit by a car Was stolen Disappeared/Lost
Have you ever had to give up a pet for any reason? *	Yes No
Why?
What other animals do you own?
Of all the breeds available, why do you want to own a Pit Bull? *
Experience: Please relate any/all prior experience you have had with this breed: if you do not have any experience, type NONE *
Please enter the name, address and phone number of your past and/or current veterinarian/clinic. If you have never had a vet, type NONE *
Please supply the name and phone numbers of at least two references. These may not be friends or family members (employers, clergymen, etc. are appropriate) *
By checking YES, you agree to absolve Aja Harris from any liability in reference to Daddie. *	Yes No
By checking YES, you agree that the dog will not be used in any illegal activities nor be found at any time in a municipality where Pit Bull presence is illegal. *	Yes No
By checking YES, you agree that the dog is to be kept as a house pet. He shall not be sold for medical or experimental purpose, and he shall not be used for breeding. *	Yes No
By checking YES, you agree to abide by all local/state leash laws. You understand that it is your responsibility to research and learn your local and state laws. *	Yes No
By checking YES, you agree to abide by the terms of th adoption contract. You agree that if you cannot agree to the adoption contract that the dog MUST be returned to Aja Harris and cannot be sold, given away, or transferred to another individual or organization, etc. *	Yes No
Please include any additional information about yourself that you would like to share!


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