Adoption Application

ADOPTION APPLICATION

Please fill out completely. This is a long application, but we require this to help ensure our dogs are going to a loving, forever home.

We encourage adopters to consider their own needs, preference, and capabilities before adopting any dog. We welcome you to spend as much time as you need visiting us and our “Pit Bulls.” They enjoy meeting new friends and love all of our volunteers. All Pit Bulls adopted from Saving Grace Pit Bull Rescue will be spay/neutered, up-to-date on all shots and microchipped.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Cell Phone::
Evening Phone:
Email:
How Old Are You:
House or Apt:
Length of Residency:
Own or Rent:
If Renting, Landlord's Name, Address and Phone Number (if you would like to know why we need this, please feel free to ask us):
Please Describe Your Neighborhood:
Are You Employed:
Length of Employment:
Name of Employer:
Occupation:
What Are Your Work Hours:
What Are Other Household Member's Work Hours:
How Many Hours A Day Will Your New Dog Spend Alone:
Number of Adults/Ages:
Number of Children/Ages:
Are you or any members of your household allergic to animals?:
Do you travel for business or vacation? If so, how will your animals be cared for while you are away?:
Are you prepared to deal with the discrimination that may come with Pit Bull ownership: homeowner’s insurance discrimination, rental restrictions, community bias?:
Have you considered the daily expenses for maintaining an animal (food, vaccinations, monthly heartworm preventative, monthly flea and tick preventative, unexpected medical expenses, grooming, obedience classes, etc?:
Are you applying for a specific dog? Please name:
General Preferences: Male or Female, Color, Age, etc.:
Can you bring all family members and pets to meet the dog you are considering?:
Will you enroll in obedience class within 4 weeks of adoption? If no, why?:
Are you interested in more advanced training for your dog?:
May we visit your home as part of the pre-adoption process?:
Do you agree to license and provide total health care for this dog?:
Do you agree to keep rabies vaccinations current?:
Will you continue heartworm prevention?:
What will you do if you cannot keep the dog?:
Please complete the following information for ALL animals living in your home including breed, age, sex, disposition, length of ownership, place of origin, spayed/neutered, cats, other?:
Previous pets, what happened to them?:
Name and phone number of veterinarian?:
List the names, addresses and phone numbers of 3 references we may call who may attest to your suitability as an adopter:
Do you understand that your pit bull will need substantial daily exercise? How will you provide this exercise?:
How will your dog spend its day? Night?:
Do you have a fenced yard? How tall? Type? If you do not have one, will you consider one?:
Do you intend to crate this dog? When? Where? How long? OWNING A CRATE IS A REQUIREMENT BEFORE ADOPTING ONE OF OUR DOGS:
Are you familiar with humane procedures for housebreaking a pet? Please describe:
What will you do with your dog in cases of bad weather such as freezing or extremely hot days?:
Do you realize that Pit Bulls are people loving dogs and need considerable time and attention? How will you meet these needs?:
Are you familiar with the characteristics and temperament of the American Staffordshire Terrier/American Pit Bull Terrier? Please describe:
Of all the dog breeds available, why did you choose a Pit Bull and what are the qualities you like in the breed?:
What challenges do you feel owning a Pit Bull may present?:
***Often times the complete history of a rescue dog is unknown. We will provide you with a description of our experience with the dog you are considering; however, do you realize that you may encounter some behavioral problems?:
Additional Comments:
I/We hereby agree to care for our dog humanely (including providing adequate food, water, shelter, love and attention). Said dog will be maintained in an adequate enclosed area or leash at all times (Enter Initials):
I/We agree to have dog vaccinated annually with necessary inoculations including Rabies as local ordinances require and provide essential veterinary care as needed (Enter Initials):
If said dog becomes lost or stolen, I/We agree to notify SGPBR immediately. I further agree that said dog shall reside inside my home and shall not be allowed to roam freely (Enter Initials):
I/We agree that said dog will NEVER be fought or used for any illegal purpose (Enter Initials):
I/We agree to notify SGPBR within 10 days of any change of address or phone number. It is also understood that SGPBR may make inquiries about the said dog at anytime (Enter Initials):
I/We also agree not to sell, trade or dispose of this dog. IF AT ANYTIME, I/WE ARE UNABLE OR UNWILLING TO CARE FOR THIS DOG, I/WE AGREE TO CONTACT AND RETURN SAID DOG TO SGPBR. At this time, we will decide on whether or not the adoption fee will be returned to you (Enter Initials):
I/WE HEREBY ACKNOWLEDGE THAT I/WE HAVE READ AND UNDERSTAND THE ABOVE TERMS AND CONDITIONS AND WILL KEEP THE DOG DESCRIBED HEREIN AS A FAMILY MEMBER. I/WE UNDERSTAND THAT THIS IS A BINDING CONTRACT ENFORCEABLE BY CIVIL LAW (Enter Initials):