Hearts of Gold Pit Bull Rescue Adoption Application

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WHY AN APPLICATION? Our goal is to match you with a dog that is compatible with your family and lifestyle. Choices for a long-term animal companion should not be made based solely on looks. The temperament and energy level of the dog in question must be taken into consideration.

If you have other animal companions, you must take the extra effort required to match the personality of your resident dog with the personality of the dog you are wishing to adopt.   This compatible match takes time and research - one size does not fit all, dogs have VERY individual needs and personalities.

Please consider your energy level, time constraints and space when considering adopting a dog. If you do not have the time to train a puppy, consider an adult dog. If you live in an apartment or do not have a fenced yard, consider the time required to provide adequate exercise for your dog. In snowy, sunny and rainy weather, your dog will still need exercise. If you have never owned a dog, consider fostering before making a committment. Think it through!

INSTRUCTIONS: Please answer all of the questions fully to prevent delays in processing your application. Please include area codes, zip codes and telephone number(s) of veterinarians. Please do not skip a question; if the question doesn't apply to your situation, simply write "N/A."

Based on our experiences and the fact that same sex aggression is common in dogs, we do not adopt to homes where a dog of the same sex currently lives (regardless of breed). **Rare exceptions are made**   Thank you for opening your home and heart to a rescued pit bull!

Adoption application

*First Name:

*Last Name

*Street Address:

*City and State:

*Zip Code:

*Your Date of Birth:

*Phone Number:

Alternate or Mobile Phone Number:

*Email Address:

*Occupation:

* Do you live with:

If you selected Other, please describe living situation:

* Do you own or rent your home?OwnRent

* If you rent, please provide contact information for the person from whom you rent:

* Do you live in an area where Breed Specific Legislation has been passed?YesNo

* Are there any children in your household?YesNo

If yes, please indicate the ages of each child in the household. If no, do you plan on adding any children to your household ?

* Name of dog you are interested in:

* Characteristics or personality traits you are looking for in a dog?

* I absolutely love dogs that:

* I cannot tolerate dogs that:

* Any reasons you would give up your dog (moving, unable to housebreak, chewing, barking, etc):

* Where will the dog be kept:

* Is the yard fenced? If so, please describe fence condition.

* Do you have a crate available: If not, are you willing to purchase one?

* How will the dog be exercised?

* Do you have other animals?YesNo

If yes, please provide breed, sex, age, and any additional information on each:

* Are all current animals spayed or neutered?YesNo

* Please list ALL animals you have owned in the past five years.

*Please list reason(s) you do not have your previous pet(s)- (what happened to them/where are they now, cause of death, etc.)

* Have you ever adopted from a shelter or rescue group before?YesNo

If so, please provide name of group/shelter:

*Are you willing to continue training with a behavior consultant?

* Experience you have had with the breed of dog you are applying to adopt:

Sometimes unforseen accidents happen to dogs or severe medical conditions appear. Should a medical emergency occur with your dog, are you prepared to pay for the costs of these unplanned expenses? YesNo

Do you have backup plan for paying unexpected vet costs should an emergency arise?YesNo

* Name and telephone number for current veterinarian:

* If no current veterinarian, previous veterinarian you have used:

* Three personal references with contact information for each:

* Any additional information you wish to share:

* How did you hear about Hearts of Gold Pit Rescue?

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