Application For Adoption2 - The Little Munchkins

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Is your mailing address the same as your home address? *

Yes No

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

My Preferred Method of Contact: *

Email Home Number Alternate Number

Do you live in a rental home/apartment, or in a county/area which enforces breed specific restrictions? (this means that Pit Bulls are NOT allowed in the area and or/home where you live) *

Yes No

If yes, please describe the nature of the restrictions: *

Spouse/Partners Full Name *

First

Last

Do you have time to: complete the potty training, feed the puppy 3 times a day, and play and teach this puppy new tricks? *

Yes No

**If no, please consider visiting a local animal shelter and adopting a little bit older pit bull.
There are so many abandoned dogs that deserve to have a loving home where
they will be well taken care of.**

If no yard, how do you plan on exercising your dog? *

Is the home in an... *

Urban Area Suburban Area Rural Setting

If you are renting, do you have the landlord's permission to own a Pit Bull? *

Yes No N/A

Please provide the landlord's name and phone number: *

Do you live with: *

Spouse/Partner Roommate(s)* Parents Alone

Who will be primarily responsible for the financial expenses of the dog? *

Will this be your first time owning a Pit Bull? *

Yes No

Have you ever been convicted of animal cruelty, dog fighting, or any crime relating to animals? *

Yes No

Have any of YOUR pets (not strays) been picked up by animal control? *

Yes No

Part Two-
Living Situation and Lifestyle

Dog's living situation (check all that apply): *

Dog will be a house pet, living inside with family Dog will live in the basement or garage Dog will live outdoors, dog house provided Dog will live both indoors and outdoors Dog will be a guard dog Other- Please Explain

When home alone, dog will be (check all that apply): *

In a crate, wire cage or dog pen inside Tied up outside (please explain below- cable run or chain) Dog will be loose (please explain below- Inside or outside) Other (please explain)

If you have to move, what would you do with your Pit Bull? *

Part Three-
Other Pets and Expirience

Do you have other dogs? (check all that apply) *

What other animals (besides dogs) do you currently own? *

Of all the breeds available, why do you want a Pit Bull Terrier? *

Do you know what heart worm disease is and how to prevent it? *

Yes No

**If you do not know, we will be happy to give you more information on it**

Are you aware of the financial responsibility involved in owning a pet (high quality food, treats, toys, annual vaccinations, flea prevention, heart worm prevention, emergency costs, etc.) and are you prepared to take care of this animal for the duration of its life? *

Yes No

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

Please review ALL the information provided before you click submit.

By checking this box, I have indicated that this is a valid and legal substitution for my written signature on this legal document entitled 'Adoption Application'. *

Yes

By checking this box, I state that I am financially and physically able to care for this dog. I understand that proper veterinary care, training and food can be costly, and I am able to meet these requirements. *

yes

If something should happen and I am no longer able to care for my adopted Pit Bull, I agree to immediately notify the breeder and realease the dog back to them to find a new home for the dog. *

I accept

Would you like to have a copy of this form emailed to you? *

Adoption Application:

Part One-
Contact and Personal Information

Part Two-
Living Situation and Lifestyle

Part Three-
Other Pets and Expirience

Please review ALL the information provided before you click submit.

Adoption Application:

Part One-Contact and Personal Information

Part Two-Living Situation and Lifestyle

Part Three-Other Pets and Expirience

Please review ALL the information provided before you click submit.

Part One-
Contact and Personal Information

Part Two-
Living Situation and Lifestyle

Part Three-
Other Pets and Expirience