<< WE USE THE SAME APPLICATION FOR ADOPTIONS & FOSTERS! >>

ALL ADOPTIONS WILL BE FINALIZED THROUGH A LEGALLY BINDING CONTRACT.

ALL ADOPTION FEES ARE NON-REFUNDABLE : $250 Puppy   $200 Adult

APPLICATION MUST BE FILLED OUT ON A COMPUTER, IT WILL NOT PROCESS ON A PHONE.

If you are a renter or have a homeowner’s association, please check that you can have a bully breed in your home. You will need to provide proof of acceptance from landlord or HOA.

Have you ever been convicted of a felony? YES NO 

Interested In (dog’s name):

Today’s Date:

PERSONAL INFORMATION

First name:

Last name:

Birth date:

Social Security Number:

Drivers License Number:

E-mail:

Street Address 1:

Address Line 2:

City:

State:

Zip:

HOUSING

Type of housing:

Can you provide a copy of lease (if applicable): YES NO 

Landlord’s name :

Landlord’s phone number :

Years at current address:

If under 2 years, previous address:

Home phone number:

Cell phone number:

Marital status:

How many adults in the house:

Name, age and relationship of other adults:
1.
2.
3.
4.
5.

How many children in the house:

Age of children:

Do you have a fenced yard or kennel run? YES NO 
If so describe:

Does anyone in the home have allergies: YES NO 

Do all the adults in the house want a pit bull? YES NO 
If not, who and why:

Are there other dogs in the house? YES NO 
If so please provide breed, sex, age and if they are spayed/neutered:

Any cats in the house: YES NO 

How many other animals have you had in the past 5 years:

Where are they now? Still alive, put to sleep, given away, lost, hit by a car:

WORK

Employer address :

Employer phone number :

Years at employer:

Typical hours worked:

CARE

How will you handle exercise and potty needs:

How many hours will the dog be left alone:

Who will be the primary caregiver of the dog:

Why do you want a pit bull:

Describe your lifestyle:

Where will the dog live primarily:

What activities will your dog participate in:

Will you crate your dog when needed? YES NO 
If no, why:

How will you handle mischievous behavior, digging, chewing, etc:

How will you handle any unwanted behavior:

What would cause you to return the dog:

Are you prepared for the personal attention this breed needs: YES NO 

Do you have the time and ability to train and exercise a strong, large dog: YES NO 

Are you ready to commit the next 10-16 years to this dog: YES NO 

Current vet’s name:

Current vet’s address:

Current vet’s phone number:

REFERENCES

Please provide 2 personal references (not relatives)
1.

Name:

Address:

Phone number:

Relationship:

2.

Name:

Address:

Phone number:

Relationship:

Please provide 2 family members who will know your whereabouts for the next 5 years:
1.

Name:

Address:

Phone number:

Relationship:

2.

Name:

Address:

Phone number:

Relationship:

 

THE INFORMATION ON THIS APPLICATION WILL BE KEPT CONFIDENTIAL.

BY SUBMITTING THIS APPLICATION, I CERTIFY THAT ALL INFORMATION PROVIDED IS COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT YOU MAY RUN A BACKGROUND CHECK AND WILL CHECK ALL MY REFERENCES.

AGREE and DIGITALLY SIGN. 

Founded in June 2011, Pit Crew IL Rescue is a non-profit organization dedicated to the rescue of pit bulls. It is only through your contributions that our work can continue. Please donate. Thank you.

Questions and comments welcome: pitcrewillinois@gmail.com

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