PLR ADOPTION APPLICATION

A PittieLove Rescue volunteer will contact you within a few days of submitting your application for adoption.

Please be as thorough as possible when completing it.

Thank you for your interest in adoption!

* PERSONAL INFORMATION *

Your first, middle and last name (including maiden name if applies): *

Address: *

City: *

State: *

Zip Code: *

Email Address: *

Primary Phone: *

Secondary Phone:

Best Time To Call: *

Occupation: *

Age: *

Facebook Page (if applies)

How many adults (21 and older) in the household?

How many individuals under 21 in the household?

What are the ages of the individual(s) under 21?

* ABOUT THE DOG(S) *

Are you looking for *

Male

Female

Either

Do you prefer a *

Puppy

Adult

Either

Any additional requirements about the dog you would like to add:

Dog Selection - Name(s) of dog(s) you are interested in: *

Choice 2:

Choice 3: *

Dogs living situation (Check all that apply) *

If you selected Guard Dog, please indicate the situation:

Business

Residence

Other

If other, please explain:

How will you exercise the dog? (Please check all that apply) *

Leash Walk every day

Will have cable run in the yard

Will be free to run in fenced yard

Will be free to roam around (Off leash and unsupervised in an unfenced area)

Will bring to dog park (Enclosed public area where all dogs are allowed to run and play together off-leash)

Other:

Additional Details:

How many hours maximum will dog be home alone? *

* LIVING SITUATION AND LIFESTYLE *

Do you live in? *

Is your home located in: *

An urban area

A suburban area

A rural area

Do you own or rent? *

I own home

I rent home

My parents own home

A Friend/Relative owns home

If you are renting, please provide name & phone # of homeowner or landlord:

Yard Size: *

Is the yard enclosed by a fence?: *

Yes

No

If yard is fenced, please describe fencing (height and type).

* OTHER PETS AND EXPERIENCE *

Do you have other DOGS? (Check all that apply) *

Please specify breed(s) and age(s) of other dogs :

If you had other dogs in the past, please let us know the current disposition of those dogs:

Still have the dog(s)

Died of old age or fatal disease

Was hit by a vehicle, stolen or lost

Gave or sold to friends, relatives or acquaintance

Please specify what happened:

What kind of other animals do you own? *

Why are you looking to adopt a pit bull type dog specifically? *

Experiences: Please relate any prior experience you had with dogs/pit bull type dogs: *

What type of walking equipment do you use for your dog(s)? Please list any collars, harnesses, or leashes that you use or have used for walking or training. *

How do you approach dog training and discipline? Please give examples of how you address the following behaviors: jumping, mouthing, barking, leash pulling. *

References: Please supply the name and phone number of your current veterinarian or the one who saw your previous pet(s), and their title identification. If you don't have a vet, please provide the name of your employer, clergyman, or anyone not related to you who can attest to your character. Vet references are preferred. *

Additional information you would like to provide about yourself and/or the dog you would like to adopt:

P.O. Box 3532 * Framingham, MA * 01705-3532 * www.pittieloverescue.org